IT Equiptment Request | COVID-19 SCREENING

Please consider donating to us to help us fight COVID-19

Home
Testing Locations
Re-Testing
About
Register
COVID-19 Testing Information
Our Care Solution
Notice of Privacy Practices
Terms of Service
More

YOUR SOURCE FOR COVID-19

REGISTRATION, SCREENING, AND TESTING.

UMMC COVID TESTING SITE IT EQUIPTMENT REQUEST FORM

Please fill out the all the fields. Allow 24 hours to process your request

Requested By:

Company

Address

Testing Start Date

Testing End Date

Start Time

End Time

Network Type

Wired

Wi-Fi

No. of Computers Required

Site IT Contact:

Name

Phone

Email

Is the contact on site or offsite?

Site Contact for UMMC:

Name

Phone

Thanks for submitting!

Menu

Testing Locations

Privacy Practices

Terms of Service

© 2020 BY UNITED MEMORIAL MEDICAL CENTER