COVID-19 Test Registration

Test availability is by appointment only for symptomatic patients.  Please complete registration only when requested by a staff member at Richmond Pediatrics. Please call us to schedule with your doctor or use the appointment request form to receive a call from the office.

Directions: 

Please complete this form before or after your appointment, as directed by staff.

Role: Please select “Visitor” in the role field
Date of Birth: If using a mobile phone, opening the date selector dropdown menu and pressing the date at the top will allow you to select a birth year.

Disclosure: 

Federal law requires we transmit COVID-19 lab results to public health agencies. Richmond Pediatrics utilizes SimpleReport, a tool developed by the CDC, to meet reporting requirements. Following your test, you may be contacted by SimpleReport or a Public Health agency by phone or email.