Contact

COVID-19 Test Registration //

Southern Secrets Med Spa offers $100 testing for COVID-19 which will allow you to get quick results as to whether or not you have or have had the virus. Simply provide your information in this form to register for our drive up service.

 

 

Call Us

(832) 263-1300

Email Us

stacey@southernsecretsmedspa.com

Sex

If female, are you pregant?

Have you had any recent direct contact with a person who tested positive with COVID-19, Ebola, MERS or TB?

Have you had any recent direct contact with a person who tested positive with COVID-19, Ebola, MERS or TB?

Do you have any of the following COVID-19 symtpoms?

By submitting this form  I verify that I have received Southern Secrets Med Spa’s Notice of Privacy Practices, and consent to treatment/testing.