Sacred Heart Church 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 in a vehicle and wearing a mask during your scheduled date and time. For support with this form only, contact email@example.com.
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.
Sacred Heart Church
12 Terrace Avenue
Rochelle Park, NJ
Sunday, January 24 , 2021 – 1:30 pm – 4:30 pm
DRIVE THRU‐TESTING EVENT
FOR THOSE WITH OR WITHOUT SYMPTOMS
|Sacred Heart Church||Sunday, January 24||01:30 PM to 02:00 PM||Check Availability|| |
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|Sacred Heart Church||Sunday, January 24||02:00 PM to 02:30 PM||Check Availability|
|Sacred Heart Church||Sunday, January 24||02:30 PM to 03:00 PM||Check Availability|
|Sacred Heart Church||Sunday, January 24||03:00 PM to 03:30 PM||Check Availability|
|Sacred Heart Church||Sunday, January 24||03:30 PM to 04:00 PM||Check Availability|
|Sacred Heart Church||Sunday, January 24||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.