Skip to content
11955 DALLAS PKWY, FRISCO | M-F 8-6 SAT 9-12 SUN 2-4
LOG-IN
Appointment Scheduler
Existing User Log-in
Forgot Password
Forgot Username
PAYMENTS
CONTACT
(214) 396-5200 | Phone
(972) 382-5796 | Text
(214) 504-1796 | Fax
info@pediatricpeople.com
Message / File Upload
JOIN OUR TEAM
APPOINTMENTS
NEW PATIENTS
New Patients: Call 214-396-5200
New Parents
LEARN MORE
Accepted Insurance
Careers
Ear Piercing
Locate / Contact
Medication Dosage
Meet Our Providers
Medical Services
No Surprises Act
Referrals
Registration Documents
Resources
Appointment Scheduler
Ear Piercing
Portal Login
New Patients
New Patients: Call 214-396-5200
New Parents
Contact
(214) 396-5200 | Phone
(972) 382-5796 | Text
(214) 504-1796 | Fax
info@pediatricpeople.com
Message / File Upload
Locate
11955 Dallas Parkway, Frisco
Hours
M-F 8-6 | Sat 9-12 | Sun 2-4
Learn More
Accepted Insurance
Join Our Team
Locate
No Surprises Act
Providers
Referrals
Registration Docs
Resources
Services
Make a Payment
SARS-CoV-2 ANTIGEN TEST DOCUMENT REQUEST
SARS-CoV-2 ANTIGEN TEST DOCUMENT REQUEST
Michael
2020-07-12T12:07:25-05:00
Patient's Name
*
First
Last
Patient's Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Date of Test
*
MM slash DD slash YYYY
What document(s) do you need?
*
Select All
Test results
Statement to return to work, school or daycare
Delivery Email
*
I understand and agree that this authorization allows Pediatric People, PLLC to send an email regarding test results, appointments, referrals, billing or other information regarding your care.
Page load link