COVID-19 Testing Assessment

The information collected in this assessment will help determine if you need to be tested for COVID-19. If testing is advised, you will be able to schedule a testing appointment at one of our test sites.

*This assessment is for people age 5 and older. If you are under the age of 5, please talk to your physician or local health care provider for assistance.

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[md-card title="Health Information" titlesize="large"]
[md-radio label="Have you traveled in the last 30 days?"]NoYes[/md-radio]
[md-radio label="Have you been in direct contact with any person(s) with COVID or displaying symptoms of COVID?"]NoYes[/md-radio]
[md-radio label="Are you currently displaying symptoms of COVID?"]NoYes[/md-radio]
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[md-card title="Determination" titlesize="large"]
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It is not currently recommended that you get tested for COVID-19 at this time. We recommend that you speak with your healthcare provider to determine the best course of action for your care.

Please be sure to practice social distancing and hygiene best practices. If you develop symptoms, you can retake this assessment, or if symptoms are serious or life threatening, please call 911.

Helpful COVID-19 Related Links:

CDC - How to Protect Yourself & Others

DOH - What you need to know now about COVID-19 in Florida

Charlotte County COVID-19 Information

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Thank you for taking this survey. It is recommended that you get tested for COVID-19. Please schedule an appointment to be tested at one of our sites using the scheduling tool on this page.

For additional resources regarding COVID-19, please visit What you need to know now about COVID-19 in Florida.

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[md-accept]
This checkbox represents your digital signature. By checking this box you affirm that you are over the age of 18 and agree to provide your information for testing consideration. I consent to allowing a medical professional to conduct said test. I consent to the above information to be shared with all appropriate parties.
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[md-submit][/md-submit]
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Please be patient after pressing the Submit button. After a brief pause you will be sent to the scheduling screen. Thank you.

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