Fields with an asterisk (*) are required.
First Name *
Last Name *
Phone Number (with Area Code) *
Name of your Company/Organization * (Enter N/A if not applicable)
Total Number of People in your group who need to be tested: *
What type of test do you want done? (PCR, Rapid Antigen, HYRIS, etc.)*
Location of testing? (Worksite, hotel, our clinic, etc.)*
Date needed for testing? *
Please enter in any additional information you would like to share with our team here:
COVID TESTING CLINIC:
1778 Market Street
(Corner of Market and Carmichael)
5539 Young Street, Suite B, Halifax, NS B3K 1Z7
© 2021 PRAXES Emergency Specialists.