Free, Easy, and Reliable.

Get up to 8 free COVID test kits delivered to your doorstep, fully covered by insurance! Stay prepared and protect your loved ones with quick, easy, and reliable testing at no cost to you. Available to eligible individuals—register now to learn more!

Free, Easy, and Reliable.

Get up to 8 free COVID test kits delivered to your doorstep, fully covered by insurance! Stay prepared and protect your loved ones with quick, easy, and reliable testing at no cost to you. Available to eligible individuals—register now to learn more!

Free Test Kits

We are here to ensure you have access to the resources you need to protect yourself and your loved ones. To get started, please provide the required information below. Your information will remain secure and confidential.

Personal Information

Last Name

Email *

First Name

Date of birth

Phone *

Street Address

City

State

Country

Postal code

Insurance Information

Insurance Provider

Medicare

Medicaid

Private Insurance (Please specify)

If other please specify:

Insurance ID/Policy Number:

Authorization

Do you consent to allow us to bill your insurance provider for the test kits?

Yes

No

Do you agree to our terms of service and privacy policy regarding the use of your information for this service?

Signature

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Date

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