Monroe County, NY COVID-19 Testing Registration Form

PCR Testing for K-12 Students Only
FLEET Building 11 Only Open M-F 9AM-12PM
(Closed Afternoons)

To use this PCR test registration form, student must be:

Bring proof of eligibility with you to appointment! Student must be accompanied by a parent or guardian with acceptable ID - Driver's ID, Passport, State Non-Driver's ID, Medicaid Card (with photo), School ID (with photo), or Work ID (with photo).

Testing is drive through. Do not leave your vehicle.

* Required Fields

Confirmation of appointment will be sent to this email.
Available date/time Unavailable Selected

Person

This email address will receive notification of test result.
If this person needs special accommodations please indicate above.
School/Employer Info
YOU WILL NOT BE ABLE TO EDIT THIS INFORMATION AFTER CLICKING THE SUBMIT BUTTON BELOW. PLEASE MAKE SURE ALL INFORMATION IS CORRECT.