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Complete the questionnaire below to determine your eligibility for a GENETWORx COVID-19 Nasal Swab Test Kit. Please note you must be 18+ years of age.
If you are determined to be eligible, you will create a patient profile and submit your request for a kit.

The results of your GENETWORx COVID-19 Nasal Swab Test should not be used to determine if you are eligible to return to work.
If you have questions about your ability to return to work, please contact your employer or the department of health for guidance on appropriate testing and work safety.

Eligibility
Account
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Confirmation

Please select the option that best describes your symptoms.

Mild

I have a fever between 100.4°F and 102°F, am feeling feverish, or feel warm to the touch.
I have a new or worsening cough.
I have a new or worsening sore throat.
I am having flu-like symptoms (chills, runny or stuffy nose, whole body aches, headache, and/or feeling tired).
I am having shortness of breath that is not limiting my ability to speak.
I have new loss of taste or smell.
I have new nausea or vomiting.
I have new diarrhea.

None

I am not having any symptoms, or I am having symptoms, but they are getting better.

Please choose all options that describe your exposure. (Select all that apply)

If you have not been exposed, please select "Unexposed."

Exposed or Sick Contact

I have been in close proximity* to someone who has been diagnosed with or presumed to have COVID-19.

* within 6 feet of the person for a total of 15 minutes over a 24-hour period or have been coughed or sneezed on.

Testing Recommended

I have been asked to get tested by a public health department (e.g., due to travel), contact investigator, or healthcare provider.

Congregate Setting

I live or work in a place where people reside, meet, or gather in close proximity.*

* This includes office buildings, workplaces, schools, health care settings, nursing homes, long-term care or assisted living facilities, group homes, homeless shelters, prisons, and detention centers.

Unexposed

I have not been exposed.

Please choose all options that describe you. (Select all that apply)

Select "No conditions" if none of the other options apply to you.

High Risk

I am 65 years of age or older. I have been told by my doctor that I am very overweight or obese. I have a chronic condition (e.g. diabetes, high blood pressure, kidney disease or on dialysis, liver disease, lung disease or asthma, etc). I have a heart condition (e.g. previous heart attacks, heart failure, etc). I have a neurologic condition that affects my ability to cough (e.g., had a stroke). I regularly use tobacco or nicotine products (e.g. cigarettes, e-cigarettes, vapes, hookah, etc). I have a condition that weakens my immune system or makes it harder to fight infections (e.g. AIDS, cancer, lupus, rheumatoid arthritis, solid organ or bonemarrow transplant, etc). I am taking medication that weakens my immune system (e.g. steroids, chemotherapy, immunologics, etc). I do not have any of the above conditions.

Low Risk

I do not have any of these conditions