Request Free COVID Tests

Simply fill out and submit the following COVID Test Request form. If you have any questions, or if you’d like to request more than 10 tests, please call us at (508) 559-6699 or email TestKits@bnhc.org.

Name *

First

Last

Address 1 or Company Name *

Address 2

City *

Zip *

Your Zip Code

Email *

Phone

These COVID tests are for a: *

• Household
• Small business

Number of COVID tests requested

Selected Value: 1

Request Tests

Please note: we only ship COVID tests to Massachusetts addresses.