https://crosstownpharmacypsl.com/covid-test-formThis FORM LIVES HERE 

https://www.crosstownpharmacypsl.com/covid-test-form

COVID-19 Testing & Vaccination Form

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WOULD YOU LIKE TO MAKE AN APPOINTMENT FOR COVID TEST OR VACCINE?

FIRST: PLEASE FILL OUT, SIGN AND SUBMIT THIS FORM.

SECOND: PLEASE BOOK YOUR APPOINTMENT WITH THE CALENDAR SYSTEM LOCATED AT THE BOTTOM OF THIS PAGE THEN PAY.

THIRD: PLEASE BRING A COPY OF YOUR INSURANCE CARD (AND OTHER DOCUMENTS - IF APPLICABLE) TO YOUR APPOINTMENT. WE WILL DO THE REST. THANK YOU & SEE YOU SOON!

**** WE ALSO HAVE WALK-INS IF YOU DO NOT WANT TO BOOK AN APPOINTMENT. SIMPLY STOP BY WITH YOUR APPLICABLE DOCUMENTS DURING THE HOURS BELOW. SEE YOU SOON! ****

COVID-19 TESTING
We provide COVID-19 testing for self-pay ONLY with same day results for the Antigen and PCR test.
Our walk-in hours are:
Mondays through Fridays: 9 am – 5 pm
Saturdays: 10 am – 3 pm
COVID-19 VACCINATION
CrossTown Pharmacy provides the Pfizer COVID-19 vaccine on Tuesdays and Thursdays, walk-in hours are 10 am – 4 pm.
COVID-19 TESTING & VACCINATION COMBO
CrossTown Pharmacy provides the Pfizer COVID-19 vaccine on Tuesdays and Thursdays, walk-in hours are 10 am – 4 pm.

APPOINTMENT TYPE

Rapid Test

PCR Test