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COVID-19 Testing Application

COVID-19 Testing Application

Welcome to The City of Coral Gables COVID-19 Testing Portal
The City of Coral Gables is offering free COVID-19 testing for residents who meet certain criteria. This test will detect active infections. Testing is being prioritized for residents in the highest risk categories.

Please complete the form to be considered for a COVID-19 test. The submission of this form does not guarantee testing. If you meet the criteria, you will be contacted by email or phone for the scheduling of an appointment. 

All information provided in this form is being submitted voluntarily and in accordance with all applicable laws. Health information included as part of this form will be secured and shall only be accessible by City of Coral Gables personnel and testing providers. 

* 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
* Please enter your contact information. You must click 'SUBMIT' to continue.
* Are you 65 years or older?
Yes
No
Closed to responses
* Do you have a doctor's prescription to test for COVID-19?
Yes
No
Closed to responses
* Do you have any serious underlying medical conditions?
Yes
No
Closed to responses
If yes, please list your underlying medical conditions.
Closed for Comments
* Are you currently experiencing any COVID-19 symptoms?
Yes
No
Closed to responses
If yes, which symptoms are you experiencing?
Shortness of breath
Fever
Cough
Sore throat
Closed to responses
* 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