Please schedule your COVID-19 testing time below

Please schedule your COVID-19 testing time below

You will receive an email confirmation with your testing location appointment time, date and location details. Please print out and bring your confirmation or show it on your phone when you arrive for testing.
You are required to submit your physician’s referral prior to the COVID-19 test being administered, so that we may bill your insurance. Please do not arrive for your appointment without your physician’s referral. If you do not have any insurance but have your physician’s referral, you may be covered by the CARES Act Fund or your State Fund. If the payment is rejected by any of these Funds, you will be responsible for $250 price of the test. If you do not have your physician’s referral, you will be responsible for the $250 cost of the COVID test payable immediately upon arrival for specimen collection. For employment or travel screening, other rates may apply per Agreement with your Company or Government Agency. *

I understand my payment responsibility
Choose Your Test Location *
Name *

First Name Last Name
Email *
example@example.com
Date of Birth *

Month Day Year
Date
Phone Number *
Please enter a valid phone number.
Insurance Provider *
Subscriber Name (if different from above)

First Name Last Name
Date of Birth (if different from above)

Month Day Year
Date
Member ID *
Group
Appointment at Affiliated Specialists (9811 Greenbelt Rd Suite 205, Lanham, MD 20706, 10am-6pm, M-F)
Annapath, Inc. (3299 Woodburn Road, #250, Annandale, VA 22003)
Please upload a picture of your driver's license and insurance card

If you do not provide them here, you will need to present them at the time of testing.
Cancel of
Please print, fill out this form and bring it with you for your COVID test.
Click to Download Form PDF
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