St. Leo’s Church - Elmwood Park NJ

St. Leo’s 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.

 

Test Results

Anyone who tests positive will receive a phone call from our office with their results. Anyone looking for their results, please send an email to 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]

St. Leo’s Church

324 Market Street, Elmwood Park, NJ 07407

201‐796‐3521

 

COVID-19 Testing,
Saturday, April 3, 2021 – 09:00 am – 4:00 pm

Note: Please check to make sure all fields are filled out. If you click the Submit button and nothing happens scroll back up and look for any fields that are missing your information. They will be highlighted in red. Fill them in and then click the submit button afterward and your registration form will go through and a message will display afterward confirming we received it.

Name DateTime Action
 St. Leo’s ChurchSaturday, April 309:00 AM to 09:30 AMCheck Availability
 St. Leo’s ChurchSaturday, April 309:30 AM to 10:00 AMCheck Availability
 St. Leo’s ChurchSaturday, April 310:00 AM to 10:30 AMCheck Availability
 St. Leo’s ChurchSaturday, April 310:30 AM to 11:00 AMCheck Availability
 St. Leo’s ChurchSaturday, April 311:00 AM to 11:30 AMCheck Availability
 St. Leo’s ChurchSaturday, April 311:30 AM to 12:00 PMCheck Availability
 St. Leo’s ChurchSaturday, April 312:00 PM to 12:30 PMCheck Availability
 St. Leo’s ChurchSaturday, April 312:30 PM to 01:00 PMCheck Availability
 St. Leo’s ChurchSaturday, April 301:00 PM to 01:30 PMCheck Availability
 St. Leo’s ChurchSaturday, April 301:30 PM to 02:00 PMCheck Availability
 St. Leo’s ChurchSaturday, April 302:00 PM to 02:30 PMCheck Availability
 St. Leo’s ChurchSaturday, April 302:30 PM to 03:00 PMCheck Availability
 St. Leo’s ChurchSaturday, April 303:00 PM to 03:30 PMCheck Availability
 St. Leo’s ChurchSaturday, April 303:30 PM to 04:00 PMCheck Availability

Wellcare COVID-19 Testing Service

WellCare provides New Jersey Municipalities and Institutions with free COVID-19 Testing Services. Call (201) 880-8112