Lee County, NC

support@leecountync.gov

408 Summit Drive, Sanford, NC, 27330, US

919-718-4688

Section 1 of 1 in this document

COVID-19 Testing Registration

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Full Name

First Name *

Initial

Last Name *

Age *

Date of Birth

Month *

Day *

Year *

Address

Street Address *

City *

State *

Zip *

Email *

Phone Number *

Additional Comments

disregard this