COVID-19 TESTING REGISTRATION

Please complete the form below to register online for public COVID-19 testing through UMC. Appointments are required, and all public testing will take place at the UMC Advanced Center for Health, 2231 W. Charleston Blvd.

To expedite the registration process, please enter your name and date of birth exactly as they appear on your ID.

As a helpful reference for reading your test results:
Not Detected = Negative
Detected = Positive
UMC will contact you directly if your result is positive.

PATIENT INFORMATION
Last Name: * First Name: *
Phone #: * Date of Birth: * MM/DD/YYYY
Employee ID#: Employer Name:
 
INFORMED CONSENT

Please read the "Informed Consent for COVID-19 Diagnostic Testing" document. Clicking this link will open the document in a separate browser tab.

Acknowledgment

To speak with a UMC representative, please call 702-789-5160. Our team is happy to offer scheduling assistance and support for UMConnect and the MyChart app.

To submit this form and continue the scheduling process, please click the "Schedule your COVID-19 Test" button below.

In order to schedule your test, you must provide a nine-digit unique identifier. This number is used to uniquely distinguish you from other patients and to protect your identity. If you do not use your Social Security Number, please use another nine-digit number that is easily remembered. This number should be written down or retained in the event you need it at a later time.