Register Your Kit – Get Tested Now

DO NOT REGISTER YOUR KIT UNTIL YOU ARE READY TO COLLECT THE SALIVA SPECIMEN.

To begin your kit registration please start by completing the form below and follow the simple instructions.
Have you eaten, drink anything, chewed gum or smoke in the last thirty (30) minutes?*
- Yes
- No
Please be aware that all persons are asked to avoid drinking water for at least 20 minutes and not to eat or drink anything else, smoke, brush your teeth or chew gum for about 30 minutes before collecting your saliva specimen. That way, the samples are as clean and contaminant-free as possible.
That is perfect. Please click the Next button below to continue.

Name of the person taking this test.*
Note: Please be sure to match the collection kit serial # with the person you enter in the next steps. (if there are multiple persons in your household being tested)
First Last
Is this person a minor (child)?*
We need this information to be able to securely deliver test results under the guardian's profile / email address.
- Yes
- No
Your Name (Parent / Legal Guardian)*
First Last
Statement of Authorization*
I certify that I am the parent / legal guardian and “personal representative” of the minor child and am authorized to exercise the minor’s HIPAA Privacy Rule rights with respect to protected health information (PHI).
Email Address of person taking this test*
This is to be sure we provide results to the correct person. THIS IS WHERE TEST RESULTS WILL BE SENT TO.
Enter Email Confirm Email
Date of Birth of person taking this test*
Date Format: MM slash DD slash YYYY

In the past two weeks what has been your exposure to COVID-19?*
- I’ve had close contact with someone who has been diagnosed with or presumed to have COVID-19
- I’ve had close contact with someone who is sick but has not been diagnosed with COVID-19
- I live or work in a congregate setting where people reside, meet, or gather in close proximity such as a healthcare setting, office building, homeless shelter, assisted living facility, group home, prison, detention center, school, or workplace
- I’ve had no known exposure

BE SURE THIS SERIAL NUMBER IS MATCHED TO THE PERSON JUST ENTERED ON THE LAST PAGE
Enter the Barcode ID / Serial Number (located on the tube as pictured above)*
(Begins with two capital letters)
Re-Enter the Barcode ID / Serial Number*
(Begins with two capital letters)

Is this test for travel to Hawaii?*
- Yes
- No
Is this test for travel to Turks and Caicos?*
- Yes
- No
Is this test for travel to Jamaica?*
- Yes
- No
IMPORTANT! IF YOU ARE TRAVELING TO HAWAII, COLLECTION OF YOUR SPECIMEN MUST BE SUPERVISED OVER VIDEO. FURTHER INSTRUCTIONS WILL BE PROVIDED TO COMPLETE THIS PROCESS.
IMPORTANT! IF YOU ARE TRAVELING TO TURKS AND CAICOS ISLANDS, COLLECTION OF YOUR SPECIMEN MUST BE SUPERVISED OVER VIDEO. FURTHER INSTRUCTIONS WILL BE PROVIDED TO COMPLETE THIS PROCESS.
IMPORTANT! IF YOU ARE TRAVELING TO JAMAICA, COLLECTION OF YOUR SPECIMEN MUST BE SUPERVISED OVER VIDEO. FURTHER INSTRUCTIONS WILL BE PROVIDED TO COMPLETE THIS PROCESS.

Authorization for Use or Disclosure of Protected Health Information (Required by the Health Insurance Portability and Accountability Act, 45 C.F.R. Parts 160 and 164)*
I hereby authorize Reliant Health Services LLC and GetTestedNow.com to use and/or disclose my (or for the minor child if applicable) protected health information (PHI). This authorization for release of PHI covers all screening questions and answers and all SARS-CoV-2 Test Results. I also understand this PHI may no longer be protected by federal or state law. I authorize for my results to be delivered by email. I am aware that these are not secure means of communication and that there is a risk that my protected health information could be accessed by unauthorized third parties. I understand and agree to the statements above and the Privacy Policy found at https://gettestednow.com/privacy-policy/.
Signature*