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1.  Complete the form below to request prescription from Dr. Husty for the screening.
2.  Wait 2 business days for the prescription to be sent to the facility you choose,  then call to make your appointment.
3.  You will receive notification of your test results from Dr. Husty's office.
4.  Follow-up with your physician if needed.

Request Form

Please type the name of the agency that you are an employee/ relative or friend of.

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$ 110.00 at HCA Florida Lake Monroe Hospital
$ 100.00 all Orlando Health locations
$   50.00 South Seminole Hospital, discount*
* Discount for any employee of any Fire Department Agency within Seminole County and any Longwood Police Department employee.

Call to Schedule

888-894-2106  HCA Florida Lake Monroe Hospital
407-767-5833  Orlando Health Location
407-767-5833  South Seminole Location