At-Home COVID-19 Collection Kit Questionnaire

In order to be eligible for collection kit purchases you must be over 18 years old. Eligibility is determined by answering the following questions. Test collection kits are processed on the same day they are received by the lab.

This home collection kit has not been FDA cleared or approved.

This home collection kit has been authorized by the FDA under an EUA.

This home collection kit has been authorized only for the home collection and maintenance of nasal swab specimens as an aid in detection of nucleic acid from SARS-CoV-2, not for any other viruses or pathogens.

This home collection kit, in combination with the authorized test, is only authorized for the duration of the declaration that circumstances exist justifying the authorization of emergency use of in vitro diagnostic tests for detection and/or diagnosis of COVID-19 under Section 564(b)(1) of the Act, 21 U.S.C. § 360bbb-3(b)(1), unless the authorization is terminated or revoked sooner.

How would you describe your symptoms?

Have you been exposed to someone with COVID-19?

You are not eligible at this time

Due to the high demand of test requests we are required to provide collection kits only to those in the greatest need.

If something changes and you begin to experience symptoms then please answer the questionairre again.

Seek medical attention now

Home Test Request Form