COVID-19 Test Prescreening Form
Are you or the person you are inquiring about in medical distress?
Have you tested positive for COVID 19 within the past 90 days
Are you an employee of Northern Light Health?
Are you returning from travel outside of Maine?
Are you seeking testing BEFORE traveling outside of Maine?
Have you been in direct contact with a known COVID-19 positive individual?
Is this about a child under the age of 2?
Are you a healthcare worker or first responder ( e.g. Active Military, EMS, Police, Fire, etc)?
Do you live in group housing (e.g. Long Term Care, group home, assisted living or shelter)?
Please be sure to bring your work badge to verify your employment.
Are you or the person you are inquiring about wanting testing due to traveling outside of the state of Maine?
Are you or the person you are inquiring about having any of the following symptoms?
Do you or does the person you are inquiring about have chronic medical conditions and/or are age 65 or greater?
Are you experiencing any of the following minor symptoms?
Have you had the COVID vaccine in the last 3 days?
Are you experiencing any of the following major symptoms?
At this time a testing is not recommended. For additional information please visit the CDC website at www.cdc.gov/coronavirus.
Would still like to be tested?
Have you been in direct contact with a known Covid 19 positive individual?
Please call 911 to be evaluated by your nearest emergency department.
At this time a testing is not recommended. It is recommended to call your Primary Care Provider if you are currently having symptoms or other concerns..
Exposures to COVID positive individuals must be disclosed directly to human resources, who will provide guidance on appropriate quarantine guidelines. Please do not report to work, but contact your local Human Resources (HR) department immediately. You must be cleared following an exposure through HR and cannot utilize a test or attestation for this purpose.
This tool does not contain the answer to your specific question, as it is related to employee testing. Please contact your local Human Resources department.
Please contact your local HR team. This screening tool is for symptomatic employees only.
Please call the preferred provider for this child to arrange for care.
Please select a Northern Light testing location near you:
Bangor721 Maine Ave, Bangor, Maine (In long term parking lot at Bangor International Airport)
Sangerville22 Haley Court, Sangerville, ME 04479.
Presque IsleNear ED – 140 Academy St, Presque Isle, ME
Pittsfield167 Leighton Street, Pittsfield, ME
WatervilleBehind Inland Hospital – 200 Kennedy Memorial Dr, Waterville, ME
PortlandFore River Campus – 195 Fore River Pkwy, Portland, ME
EllsworthAcross from MCH – 30 Union St, Ellsworth, ME
Blue HillNear ED – 57 Water St, Blue Hill, ME
Pharmacy - Bangor (Faster results with a 2-3 day turnaround; Additional $25.00 fee at the time of testing)Northern Light Pharmacy State Street
210 State Street, Bangor, ME, 04401