Schedule your appointment

PCR and Rapid Test

Please provide us the following information to schedule your COVID-19 test appointment. These test are covered by most insurances.

Step 1 of 2

Name of school/college/university/company*
Name*
First Last
Email*
Mobile Phone*
DOB*
Address (Include Apt #)*
City*
State*
ZIP*
Sex*
Marital Status*
Preferred Language*
Ethnicity*
How did you hear about us:*
Newsletter Consent
- I accept to receive newsletters from Formé

Type of Exam*
Do you have insurance?*
Insurance Name*
Member ID*
Enter Insurance Name*
ID*
If you are not insured, this are the following fees:
- PCR test: $25 with a valid US photo ID (US passport, State ID, Green Card, Work Permit or Driver License)
- $75 if you have a Foreign ID or don't have an ID
- Rapid test: $75 with a valid US photo ID (US passport, State ID, Green Card, Work Permit or Driver License)
- $125 if you have a Foreign ID or don't have an ID
Type of Payment*
Type of Payment*
Appointment date*

July 2021

Sun Mon Tue Wed Thu Fri Sat

1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31

July 28, 2021

12:30 PM

12:45 PM

1:00 PM

1:15 PM

1:30 PM

1:45 PM

2:00 PM

2:15 PM

2:30 PM

2:45 PM

3:00 PM

3:15 PM

3:30 PM

3:45 PM

4:00 PM

4:15 PM

4:30 PM

4:45 PM

5:00 PM

5:15 PM

5:30 PM

July 29, 2021

8:30 AM

8:45 AM

9:00 AM

9:15 AM

9:30 AM

9:45 AM

10:00 AM

10:15 AM

10:30 AM

10:45 AM

11:00 AM

11:15 AM

11:30 AM

11:45 AM

12:00 PM

12:15 PM

12:30 PM

12:45 PM

1:00 PM

1:15 PM

1:30 PM

1:45 PM

2:00 PM

2:15 PM

2:30 PM

2:45 PM

3:00 PM

3:15 PM

3:30 PM

3:45 PM

4:00 PM

4:15 PM

4:30 PM

4:45 PM

July 30, 2021

8:00 AM

8:15 AM

8:30 AM

8:45 AM

9:00 AM

9:15 AM

9:30 AM

9:45 AM

10:00 AM

10:15 AM

10:30 AM

10:45 AM

11:00 AM

11:15 AM

11:30 AM

11:45 AM

12:00 PM

12:15 PM

12:30 PM

12:45 PM

1:00 PM

1:15 PM

1:30 PM

1:45 PM

2:00 PM

2:15 PM

2:30 PM

2:45 PM

3:00 PM

3:15 PM

3:30 PM

3:45 PM

4:00 PM

4:15 PM

4:30 PM

4:45 PM

July 31, 2021

9:15 AM

9:30 AM

9:45 AM

10:00 AM

10:15 AM

10:30 AM

10:45 AM

11:00 AM

11:15 AM

11:30 AM

11:45 AM

12:00 PM

12:15 PM

12:30 PM

12:45 PM
Briefly describe your symptoms:*
ATTENTION PATIENTS
According to the Executive Order signed by Governor Andrew M. Cuomo on September 9th, 2020, effective immediately healthcare providers who order or administer molecular, antigen or serological test for COVID-19 are to report the following patient information to the Department of Health. The following information MUST be submitted to receive your COVID test:
Name*
Ethnicity*
Ocupation*
Employer name*
Employer address*
Employer phone*
Name of school/college/university*
School’s address*
School’s phone*
Name
This field is for validation purposes and should be left unchanged.

COVID-19 PCR TEST SAME DAY RESULTS

Specialties

General Medicine

COVID-19

Exams

Schedule your appointment

PCR and Rapid Test

Step 1 of 2

July 2021

July 28, 2021

July 29, 2021

July 30, 2021

July 31, 2021

ATTENTION PATIENTS

Covid 19 Tests

For Patients

News

Departaments & Services

Sun	Mon	Tue	Wed	Thu	Fri	Sat
				1	2	3
4	5	6	7	8	9	10
11	12	13	14	15	16	17
18	19	20	21	22	23	24
25	26	27	28	29	30	31