Pregnancy Test Request Form

Pregnancy Test Request Form

Complete this form to request up to two (2) pregnancy test. Pregnancy test are only offered individually, not for distribution by offices or departments. It is mandatory for you or a representative party to come to the Women’s Center (Nebraska Union, Rm. 340) to retrieve your test. You will receive an email from Women's Center or LGBTQA+ staff when your order is ready to be picked up. Thank you.