Sacred Heart Church

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 wellcarecovidtesting@gmail.com.

 

Save Time In LineDownload 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.

Sacred Heart Church

12 Terrace Avenue

Rochelle Park, NJ

 

COVID-19 Testing,
Sunday, January 24 , 2021 – 1:30 pm – 4:30 pm

DRIVE THRU‐TESTING EVENT
FOR THOSE WITH OR WITHOUT SYMPTOMS

Name DateTime Action
Sacred Heart ChurchSunday, January 2401:30 PM to 02:00 PMCheck Availability
Sacred Heart ChurchSunday, January 2402:00 PM to 02:30 PMCheck Availability
Sacred Heart ChurchSunday, January 2402:30 PM to 03:00 PMCheck Availability
Sacred Heart ChurchSunday, January 2403:00 PM to 03:30 PMCheck Availability
Sacred Heart ChurchSunday, January 2403:30 PM to 04:00 PMCheck Availability
Sacred Heart ChurchSunday, January 2404:00 PM to 04:30 PMCheck Availability

Wellcare COVID-19 Testing Service

WellCare provides New Jersey Municipalities and Institutions with free COVID-19 Testing Services.