Winter 2022 COVID-19 Rapid Antigen Test Request for Students In Isolation
As part of our monitoring of the COVID-19 Omicron variant, UC San Diego is taking additional steps to increase safety as we return to campus in January. Rapid antigen testing is available to UC San Diego students who are in isolating at a domestic (within the U.S.) location outside of San Diego County.

Please allow for 72 hours for the test to arrive.

If you have any questions regarding the test or process, please email UCSD THA at ucsdtha@ucsd.edu.

First Name *
Last Name *
PID# (A123456789) *
UCSD Email Address (i.e. jdoe@ucsd.edu) *
Where are you isolating? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy