Medical Pre-Procedure Request

Summit Clinical Labs has partnered with certain medical facilities requesting patients get an RT-PCR COVID-19 prior to their procedure

FOR FASTER SERVICE

Bring the completed form to any of our testing sites along with a copy of your ID and insurance card

Results are submitted automatically to the medical facilities

Only download these forms if you are a patient at these facilities

If you are being tested for a medical procedure at another medical facility, speak to our staff at any of our testing sites