PRE-REGISTER

for Your COVID Test and Save Time!

Complete this form prior to arriving at our test site to help our team test everyone faster.  All information you submit is confidential and used as required by the state to register when you get your test.

PLEASE NOTE: IF YOU PREVIOUSLY PRE-REGISTERED USING THIS FORM OR TESTED AT OUR SITE IN THE PAST, YOU DO NOT NEED TO PRE-REGISTER AGAIN.

Note: $50.00 fee applied to returned payments.

Tel: 678-540-6620        contact@mooredl.com   

5590 Mableton Pkwy sw #174 Mableton, GA 30126

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