COVID-19 Testing Program

First Name*
Last Name*
Birth Date*
Email*
Mobile*
Have you received care from ZOOM+Care in the last 3 years?
Do you have a fever (measured or unmeasured) or chills in the last 24 hours?
Do you currently feel short of breath?
Do you currently have a cough?
Are you able to transport yourself, by car, to a testing location on the Eastside of Seattle?

Join the ZOOM+Care Team.

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