Request COVID-19 Test Appointment

Please fill out the following form to request a COVID-19 Test appointment:






    Date of Birth (required):
    Month:    Day:    Year:  

    Do you have insurance?

    Due to overwhelming demand we can only provide COVID-19 testing to patients that are uninsured or have any form of Medi-cal (i.e. regular, emergency, or through a Health Plan).
    If you have private insurance please go to your primary care physician first.
    COVID-19 testing is available at no-cost to you except in limited circumstances. We will ask for your Medi-cal card information or ask that you enroll in a government program so that our services can be reimbursed. If you are unable or unwilling to provide information, you may be charged for services based on a sliding fee scale (starting at $100). To find another site near you for no-cost testing, visit covid19.lacounty.gov/testing.