COVID Testing ServicesInitial Consult FormInterested in booking Transcend Health for your workplace testing needs? Please fill out the following information for the fastest response! Name of Company* Health Insurance*Please list ALL plans. If you will not be using insurance, please indicate so. Preferred Testing Date(s)* Address of Testing Location* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Location Type (office, warehouse, school, etc.)* Specific Onsite Location*Do you have indoor space you can allocate to us? Do we need to set up pop-up tents outside? We can work with you to determine the best strategy. Number of People to be Tested*Testing Frequency* Daily Weekly Every 2 Weeks Monthly Other What is the best way to test your employees?*"All At One Time" is suggested for situations in which many employees are available at the same time, e.g. during a shift change. All at One Time Individual Appointment Times Preferred Times for Testing Day* Type of COVID Test*We only use the NON-INVASIVE nasal swab PCR test (short swab inserted into lower nasal cavity; no pain, no discomfort, no 'brain scrape'! PCR Nasal Swab (for active infection) Antibody (for previous infection) Preferred Turnaround Time for Test Results*Standard turnaround time for results is 72 hours with insurance billing only. *For expedited processing times of 24 or 48 hours, there is an additional fee. 24 Hrs 48 Hrs 72 Hrs Name* First Last Email* Phone Number