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Keystone First Community HealthChoices (CHC) OvertheCounter COVID-19 Test Kit Reimbursement Request Form (2/14/2022) This form along with a copy of the receipt for the COVID-19 Test Kit(s) you bought

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How to fill out over-the-counter covid-19 test kit

01

Open the test kit box and read the instructions carefully.

02

Collect a sample using the swab provided in the kit. Swab the inside of your nose or mouth as instructed.

03

Place the swab in the provided container and seal it properly.

04

Follow the instructions to mix the sample with the solution.

05

Use the testing device to apply the mixed sample to the testing strip.

06

Wait for the specified amount of time for the results to appear.

07

Read the results according to the guide provided in the kit.

Who needs over-the-counter covid-19 test kit?

01

Individuals who are experiencing symptoms of COVID-19 and want to confirm if they have the virus.

02

People who have been in close contact with someone who has tested positive for COVID-19.

03

Those who need to take a COVID-19 test for travel or work requirements.

04

Individuals who want to monitor their health status regularly.

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What is over-the-counter covid-19 test kit?

Over-the-counter covid-19 test kit is a test kit that can be purchased without a prescription and used at home to test for the presence of the covid-19 virus.

Who is required to file over-the-counter covid-19 test kit?

Individuals who suspect they may have been exposed to the covid-19 virus or are experiencing symptoms are required to use and file the over-the-counter covid-19 test kit.

How to fill out over-the-counter covid-19 test kit?

To fill out the over-the-counter covid-19 test kit, follow the instructions provided in the kit packaging, which typically involve collecting a sample (e.g. nasal swab) and performing the test following the manufacturer's guidelines.

What is the purpose of over-the-counter covid-19 test kit?

The purpose of over-the-counter covid-19 test kits is to provide convenient and accessible testing options for individuals to check for the presence of the covid-19 virus from the comfort of their own home.

What information must be reported on over-the-counter covid-19 test kit?

The over-the-counter covid-19 test kit typically requires reporting of personal information such as name, contact details, test results, date of testing, and any other relevant health information.

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