COVID Testing for Corporate Clients or Groups

Complete this form to submit a request for Corporate or group COVID testing and the PRAXES team will get back to you shortly.

Fields with an asterisk (*) are required.

Your Name *

First

Last

Phone Number *

Email *

Name of your Company or Organization *

Total Number of People in your group who need to be tested *

What type of testing are you interested in? (Select all that apply) *

What location are you looking to do testing at? (Please provide the address and a brief description.) *

Date that we are needed for testing? *

Please provide as accurate of a date as you can in terms of when we are required for testing.

Reason(s) for the COVID Testing or screening services? *

Please enter in any additional information you would like to share with our team here:

For a listing of PRAXES locations, ask our
Virtual Assistant!