Baltimore Jewish Community Business/Group Covid Testing Registration

All information is kept strictly confidential and is only shared as required by law.

If you would like to arrange the testing to take place at your business location, call Yosef 443-835-0848

Are you being tested as part of a business or group? *

Yes

No

What is the name of the business/group? *

Who is your business contact person (to recieve the test results)? *

What is their phone number? *

What is their email? *

Please click Next to continue to the non-business form.

What is your reason for being tested? *

Covid-19 symptoms

Possible exposure to Covid-19

Work-related or precautionary testing

Follow-up for previously testing positive

What are your symptoms? Check all that apply. *

Where might you have been exposed? *

Fever or chills	Cough
Shortness of breath or difficulty breathing	Headache
Loss of taste or smell	Sore throat
Congestion or runny nose	Nausea or vomiting
Diarrhea