COVID-19 Initial Survey

I understand that this is a drive-through service only, for the safety of test site personnel, anyone walking to the test site will not be tested.
Email Address
(We will send you an email to confirm the address is valid)

Are you over 18 years of age?

Are you a resident of Passaic County NJ?

You are not eligible for this program.

For additional information, or if you are sick, please contact your health care provider or visit the Passaic County Department of Health COVID Testing page for more information.



Based on your report, you are not eligible for a mail-in test through this program.

For additional information, or if you are sick, please contact your health care provider or visit the Passaic County Department of Health COVID Testing page for more information.

You MUST be a Passaic County resident to register for an at-home Covid-19 testing kit.

  • Step 1 - Personal Information
    Example - K55554444433333
    This is NOT a required question. The question is to provide health professionals and researchers with data to combat Covid-19.

    You MUST be a Passaic County resident to register for an at-home Covid-19 testing kit. Please upload a valid driver's license. You may provide either a PDF or JPEG (image file). The image must be clear.

    By clicking the submit button below you confirm that the information you provided is accurate and up-to-date. PassaicCountyCares.org is not responsible for a delay or hardship due to circumstances that are beyond the control of the Health Department.

  • Screening Questions

    Do you work in any of the following settings: clinic, hospital, nursing home, senior care facility or first responder?
    Even if you are not a doctor or nurse, if you work in one of these locations please select 'yes.'

    Do you currently have any of the following symptoms? Select all that apply:

    In general, do you currently have any health conditions that you manage (such as diabetes, asthma, or high blood pressure)?

    By clicking the submit button below you confirm that the information you provided is accurate and up-to-date. PassaicCountyCares.org is not responsible for a delay or hardship due to circumstances that are beyond the control of the Health Department.

Protection

Older adults and people who have severe underlying chronic medical conditions such as heart or lung disease or diabetes seem to be at higher risk for developing more serious complications from COVID-19 illness. Please consult with your health care provider about additional steps you may be able to take to protect yourself.

Prevention

If you are sick with COVID-19 or think you might have it, follow the steps below to help protect other people in your home and community.

FAQs

A novel coronavirus is a new coronavirus that has not been previously identified. The virus causing coronavirus disease 2019 (COVID-19) is not the same as the coronaviruses that commonly circulate among humans and cause mild illness, such as the common cold.

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