Monroe County, NY COVID-19 Testing Registration Form

PRE-REGISTRATION ENCOURAGED!
WALK-INS WELCOME.

* Required Fields

Confirmation of appointment will be sent to this email.
Available date/time Unavailable Selected

Person

This email address will receive notification of test result.
If this person needs special accommodations please indicate above.
School/Employer Info
YOU WILL NOT BE ABLE TO EDIT THIS INFORMATION AFTER CLICKING THE SUBMIT BUTTON BELOW. PLEASE MAKE SURE ALL INFORMATION IS CORRECT.