
Maywood COVID-19 Testing Registration Form
Please fill out the following information to complete your registration. With medical insurance, there is no cost to you for the COVID-19 test. We will only perform diagnostic medical services covered by your medical insurance. You will receive a statement from your insurance company – an explanation of Benefits (EOB) – which will itemize the services received, but it is not a bill. At this time, we are not able to support self-pay registrations.
Please note that all participants are required to arrive at the test location wearing a mask during your scheduled date and time. For support with this form only, contact wellcarecovidtesting@gmail.com.
Save Time In Line - Download and fill out these 2 forms and bring them along with you to your test.
1. Assignment of Benefits Form [PDF]
2. Covid Specimen Intake Form [PDF]
Uninsured, Please Note:
Due to the lack of sufficient funding for the HRSA COVID-19 Uninsured Program, our COVID-19 testing clinics will bill individuals without health insurance $75 per COVID-19 test.
Maywood Public Schools
452 Maywood Avenue, Maywood, NJ 07607
(201) 845-9110
COVID-19 Testing – Walk-Up Event
Wednesday October 20, 2021 – 3:00 pm – 4:30 pm
Name | Date | Time | Action | |
---|---|---|---|---|
Maywood | Wednesday, October 20 | 03:00 PM to 03:30 PM | Check Availability | |
Maywood | Wednesday, October 20 | 03:30 PM to 04:00 PM | Check Availability | |
Maywood | Wednesday, October 20 | 04:00 PM to 04:30 PM | Check Availability |
Wellcare COVID-19 Testing Service
WellCare provides New Jersey Municipalities and Institutions with free COVID-19 Testing Services.