CHC COVID Initial Registration


Thank you for completing your registration!

You will receive a confirmation email shortly

Please open the email from and be prepared to share your confirmation number with the onsite staff.


You will receive one email per completed registration.


This confirmation number is good for 7 days; please visit a CHC testing site within 7 days. If you are unable to visit a site within 7 days, please fill out a new registration form here


For more information on COVID, please visit us at


Warm regards,

Community Health Center Inc COVID Response Team