COVID-19 Lab Form

Yes, we do need your insurance IF YOU HAVE IT, but the test is free with our without insurance.


To ensure prompt and efficient service, please fill out the lab form up to the last line. Open the form by clicking on the red adobe acrobat box. If you are on a smart phone, you will have to choose PDF format if prompted. On a computer, save the form first and then fill in the fields. 


It is preferred that you print and bring your form. If you do not have a printer, email your form to prior to 6 p.m. the day before your appointment. After 6 p.m. you will need to print and bring your form or fill out a blank form when you arrive. YOU MUST BE IN LINE BY 10:45 TO BE TESTED.

Family Tree Healthcare Clinic

7002 S Central Avenue

Phoenix, AZ 85042

For Life-Threatening Emergencies Call 911

© 2020 by Family Tree Healthcare