Appointment - Wilder Diagnostics

Booking Time Select an available date and time

Individual Test

10 min | $105

One-time individual PCR test for Covid-19 using a saliva sample. Valid for travel requirements, if needed.

Times are in GMT-06:00, US & Canada Central Time

2021

Tue, Jul 27

S	M	T	W	T	F	S

There are no available times on this day.

Email Verification Please provide and verify your email

Please enter the email where you want to receive your test results. We will send you a 6 digit code to verify your email

Personal Information Please provide required information

Coivd-19 Information Used for contact tracing

Patient Consent Consent to terms and sign

I confirm that:

I am age 18 or older. If <18, I am an emancipated minor or otherwise authorized to request and provide consent for the tests ordered here. I understand that consent is mandatory by law for minors. If I am requesting testing for which a minor is required by law to consent the minor has consented to such testing.

I understand that Public Law 116-136, 185115[a]. the Coronavirus Aid, Relief and Economic Security (CARES) Act, requires “every laboratory that performs or analyzes a test that is intended to detect SARS-CoV-2 or to diagnose a possible case of Covid-19” to report the results from each such test to the Secretary of the Department of Health and Human Services (HHS) via state and local health departments. I authorize XYZ Laboratory to release personal testing data to the HHS and local health department per requirement.

I understand that it is solely my responsibility to promptly discuss all laboratory results with a physician and that neither the laboratory nor its Medical Director will provide interpretation, counseling, consultation, or care recommendations based on any laboratory results provided to me. I release liability and will not hold the XYZ laboratory or its director responsible if I do not promptly communicate the results of these tests to my physician.

I authorize XYZ Laboratory to perform the test on my sample and permit my leftover samples to be used for R&D purposes after deidentification.

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