Belleville, NJ COVID-19 Test Registration

There is no cost to you for this test and it is open to everyone. If you have medical insurance, it fully covers the cost with no co-pay. If you don't have insurance, the CARES ACT covers testing with your Social Security Number. You may receive a statement from your insurance company - an explanation of Benefits (EOB) - but it is not a bill and there is nothing to pay even if a balance is indicated. All information is confidential under HIPAA guidelines. For questions about this test event, you may email .

 (Please select an open time)

 (Optional but recommended)
 (Optional, if covered)
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Please let us know the following to help prioritize your test -

Current Symptoms:
















Current Medical History:










Additional Questions:



Copy of Photo ID and Insurance Card: (Optional)
Taking a photo of your state-issued ID and insurance card (front and back) will save time at check-in.




Acknowledgement and Authorization to Test:


I additionally provide consent for testing and reporting of results by electronic and telephonic means, including as a parent or legal guardian to minors that I may have registered.