First Name (Nombre)*:

Last Name (Apellidos)*:

Email (Correo Electronico)*:

Type of test (Tipo de prueba)*:
PCR molecular test for COVID-19 (Canadá) $2500 MXN or $125 USDSALIVA Antigen Rapid Test (USA) $1000 MXN or 50 USDAntigen Rapid Test (Swab) $800 MXN or $40 USD

Phone (Telefono):

Number of tests (Cantidad de Pruebas):

Schedule (Horario)*:
9:00 AM - 9:15 AM9:15 AM - 9:30 AM9:30 AM - 9:45 AM9:45 AM - 10:00 AM10:00 AM - 10:15 AM10:15 AM - 10:30 AM10:30 AM - 10:45 AM10:45 AM - 11:00 AM11:00 AM - 11:15 AM11:15 AM - 11:30 AM11:30 AM - 11:45 AM11:45 AM - 12:00 PM12:00 PM - 12:15 PM12:15 PM - 12:30 PM12:30 PM - 12:45 PM12:45 PM - 1:00 PM1:00 PM - 1:15 PM1:15 PM - 1:30 PM1:30 PM - 1:45 PM1:45 PM - 2:00 PM4:00 PM - 4:15 PM4:15 PM - 4:30 PM4:30 PM - 4:45 PM4:45 PM - 5:00 PM5:00 PM - 5:15 PM5:15 PM - 5:30 PM5:30 PM - 5:45 PM5:45 PM - 6:00 PM