Return To Work - Contact Form

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Exer Urgent Care is here to support your business, your employees and the community. Let us help you reduce COVID-19 transmission among employees and maintain a healthy work environment by providing us with some basic information.

First Name *

Last Name *

Title *

Email *

Phone Number *

Type of Business

Expected Volume of Employees to Participate

Test Type

PCR

Other:

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Anticipated Location

Your business (for companies with 100 or more employees getting tested)

One of our clinics (for companies with fewer than 100 employees getting tested)

Other:

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Special Requests or Notes

Submit

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