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* Please select which priority best fits your current condition.

PRIORITY 1- Coral Gables senior resident age 65+ with symptoms or with underlying medical conditions.
PRIORITY 2- Coral Gables resident under the age of 65 with symptoms or with underlying medical conditions.
PRIORITY 3- Residents who do not meet any of the above categories and are requesting a COVID-19 test.
Closed to responses

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* Please enter your contact information. You must click 'SUBMIT' to continue.

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* Are you 65 years or older?

Yes
No
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* Do you have a doctor's prescription to test for COVID-19?

Yes
No
Closed to responses

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* Do you have any serious underlying medical conditions?

Yes
No
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If yes, please list your underlying medical conditions.

Closed for Comments

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* Are you currently experiencing any COVID-19 symptoms?

Yes
No
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If yes, which symptoms are you experiencing?

Shortness of breath
Fever
Cough
Sore throat
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* Have you had direct contact with someone who has tested positive for COVID-19?

Yes
No
Closed to responses

Before finishing the survey, please make sure to click "SUBMIT" next to your contact information above. Thank you