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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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