I understand that I will take a Covid-19 Test at the Middletown Medical location in Newburgh NY (47 N Plank Rd Suite 19 · In Mid Valley Mall).
The cost of each test is $110 using this program. It is recommended before you travel and when you return.
I understand that the office is closed on Sunday and I will take this into consideration before requesting an appointment so that I get my results before my trip.
I understand that it may take up to 48 hours for test results.
I understand that the information provided in this form will be shared with Middletown Medical.
I understand by completing this form and submitting my personal health information that I am requesting a Covid-19 test.