SIPMD - COVID

Get tested for COVID-19

Testing is currently available by SIPMD in partnership with County residents that meet the Public Health criteria. This includes people with signs or symptoms of COVID-19 or who have been in close contact with a person known to have COVID-19, workers and residents of congregate settings, and certain essential workers.

Where should I go to get tested?

Testing is offered at multiple drive-through and walk-up testing locations across Arizona. As part of the registration process, you'll be asked to select a testing site. Your appointment email will also include location details and address.

What kind of COVID-19 test is being offered?

Testing types offered are a variety of Antigen test, Saliva, and PCR tests.

How will I receive results about my test?

Your results will be sent to you via text message if you choose to do so within the registration process or phone call from our Medical Staff.

Who pays for my test?

Patients may be able to receive reimbursement from their health insurance company for all or a portion of their COVID-19 test. Please contact your insurance company for additional information as to whether you may be eligible to receive reimbursement for your COVID-19 test and how to apply.

PCR $150
Antigen $120

Your Demographic Information

First Name*

Last Name*

What is your date of birth*

What is your sex and race?

Why are we asking for this?

Gender*

Gender Identity

Sexual Orientation

Race

Ethnicity

Your Contact Details

Phone Type

Phone Number*

Please check this box to consent to receiving text messages about your test results.

Email*

Your Address Details

Street Address*

Unit/Apt on street address

City*

State*

Zip*

Your Insurance Details

Testing in Arizona is primarily paid for by health insurance. Do you have health insurance?*

Yes

No

Tribal Member?*

Yes

No

Why are we asking for this information?

Tribal Status*

Insurance Provider* Contracted Insurances Insurance Not Listed

Not Listed Insurance Provider* Show list

Insurance Member ID*

Insurance Group Number

Relationship to this insured

Initial *

I attest that I don't have employer-sponsered or individual healthcare coverage, Medicare, Medicaid and that no other payer will reimburse for COVID-19 testing from SIPMD.

Identification Type

Identification Number

Social Security Number

Payment

Card Number

Expiration Date

CVV

Amount

First Name*

Last Name*

Street Address*

City*

State*

Zip*

Consent Form

Initial *

I have read the contents of this form in its entirety and voluntarily consent to undergo diagnostic testing for COVID-19.

Initial*

AGREEMENT FOR SELF-ISOLATION

The local health jurisdiction has determined that if you are under suspicion for having COVID-19 due to symptoms and testing requests, it is necessary to be placed in isolation in order to prevent the transmission of this infection. It is important for you to comply with this Isolation Agreement in order to protect the public’s health.

Your initial confirms that you consent to COVID-19 testing, and, if you have any of the symptoms, you will isolate yourself from any other people until you receive a negative test result.

COVID-19 Questionnaire

Have you come into contact with any person who has tested positive for COVID-19?*

Yes

No

COVID-19 Questionnaire

Have you recently traveled?*

Yes

No

COVID-19 Questionnaire

Are you a healthcare worker with direct contact with patients?*

Yes

No

COVID-19 Questionnaire

Are you in close contact with anyone over age 65, with an impaired immune system, with diabetes, liver disease, lung disease, or who is pregnant?*

Yes

No

Are you employed in one of the following categories?*

First responders

Critical government personnel

Health care professionals

Grocery workers

Delivery, rideshare, taxi and public transit drivers

Credentialed members of the media

Construction workers

None of the above

Drive-through location

Please Select a drive-through location you would like to attend.

Pick a date

Please choose one of the available dates.

Pick a time

Please choose one of the available time

Please Confirm your info and book your appointment

Your appointment is confirmed.

Confirmation number

Please remember to bring your ID and your confirmation number to your appointment

Go to home page