Help Fresno Stay Open.

Fill out the form below for a pre-registration request for no-cost COVID-19 testing at the Fresno Fairgrounds.

Please Note: After filling out this form, your registration will be pending completion. You will receive a call from us as quickly as possible to complete your registration. Thank you!

First Name

Last Name

Date of Birth

How did you hear about this service?

Social Media

Looking through the Website

A Flyer

Radio

Other

If other, please briefly explain.

Phone Number

We are growing! Find out about new Health Centers near you and much more?

That would be nice, thank you.

No, thank you.

I understand that by submitting this form I will be awaiting a phone call from United Health Centers to complete my registration.

Yes, I understand, and I would like to continue.

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