Sacred Heart Church

St. Joseph’s 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.

St. Joseph’s Catholic Church

8 West Main Street, Mendham, NJ 07945

973‐543‐5950

 

COVID-19 Testing,
Thursday, January 21 , 2021 – 09:30 am – 4:00 pm

Name DateTime Action
St. Joseph’sThursday, January 2109:30 AM to 10:00 AMCheck Availability
St. Joseph’sThursday, January 2110:00 AM to 10:30 AMCheck Availability
St. Joseph’sThursday, January 2110:30 AM to 11:00 AMCheck Availability
St. Joseph’sThursday, January 2111:00 AM to 11:30 AMCheck Availability
St. Joseph’sThursday, January 2111:30 AM to 12:00 PMCheck Availability
St. Joseph’sThursday, January 2112:00 PM to 12:30 PMCheck Availability
St. Joseph’sThursday, January 2112:30 PM to 01:00 PMCheck Availability
St. Joseph’sThursday, January 2101:00 PM to 01:30 PMCheck Availability
St. Joseph’sThursday, January 2101:30 PM to 02:00 PMCheck Availability
St. Joseph’sThursday, January 2102:00 PM to 02:30 PMCheck Availability
St. Joseph’sThursday, January 2102:30 PM to 03:00 PMCheck Availability
St. Joseph’sThursday, January 2103:00 PM to 03:30 PMCheck Availability
St. Joseph’sThursday, January 2103:30 PM to 04:00 PMCheck Availability

Wellcare COVID-19 Testing Service

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