COVID-19 Home Test Kit Request

  • Have you or someone living in your household been affected by COVID-19?

    This program will now provide home test kits for COVID-19 on request.

    Tests provided are the EverlyWell At-Home tests that are mailed in for processing.You can learn more here.

    Fields marked with a red asterisk (*) are required.

  • Please enter your physical mailing address, we cannot ship to a PO box.
  • Please enter a phone number you can be reached at.
  • Please enter an email address you can be contacted at.
  • How many people total live in your household?

If you have questions, please contact: