When you should be tested for COVID-19
The City of Boston is encouraging residents and businesses to help stop the spread of COVID-19, and an important part of stopping the spread is getting more people tested. This will help the City of Boston better understand and control the spread of the virus.
You should get tested if you:
- are experiencing COVID-like symptoms
- are at high risk for complications from COVID-19
- have been in contact with someone who is infected with COVID-19, or
- have traveled or been in large gatherings
Symptoms of COVID-19 include fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, and diarrhea.
There is growing evidence of transmission risk from infected people without symptoms (asymptomatic) or before the onset of recognized symptoms (pre-symptomatic).
If you have symptoms of COVID-19, you should call your health care provider. This is especially important for individuals at high risk for complications from COVID-19.SHOULD I GO TO MY DOCTOR OR ISOLATE?
If you have symptoms of this virus, you should call your healthcare provider. It is important that everyone who has symptoms of COVID-19 seek care to confirm diagnosis. This will allow you to receive appropriate advice on caring for yourself and preventing spread to your family, friends, and other close contacts. This is especially important for individuals at high risk for complications from COVID-19, such as:
People in close contact with someone who is infected with COVID-19 are at higher risk of getting infected themselves, and infecting others. Close contacts are defined as someone who was within 6 feet of an infected person for a cumulative total of 15 minutes or more over a 24-hour period* starting from 2 days before illness onset (or, for asymptomatic patients, 2 days prior to test specimen collection) until the time the patient is isolated. The local board of health will notify you if you are considered a close contact with an infected person. You should be tested as soon as possible after notification.
If you are a healthcare worker in contact with patients or other healthcare workers, or if you are a first responder (EMS, fire, police), you need to be tested regardless of the high-risk criteria if you become symptomatic.ARE THERE FREE TESTING SITES IN THE CITY OF BOSTON?
The City of Boston partners with community health centers, hospitals, and pharmacies to increase access to COVID-19 testing for Boston residents.
The City is also encouraging everyone to consider getting tested for COVID-19, regardless of symptoms. If you are interested in accessing free COVID-19 testing, read more about the City’s mobile testing sites, which have testing available to anyone at no cost and regardless of symptoms and insurance coverage.
Other testing centers have varying policies regarding the availability of asymptomatic testing and insurance coverage, so please call ahead. The multilingual Mayor's Health Line (617-534-5050) can help with health insurance applications. You can also get help navigating Boston's health care system and with COVID-19 questions.WHEN I MAKE AN APPOINTMENT TO GET A TEST, WHAT SHOULD I ASK THE PROVIDER?
- Do I need to have symptoms to get tested?
- Will I be billed or is it free?
- Is it a walk-up or a drive-thru site?
- Do I need to make an appointment?
- How soon will I get my results?
Stay home except to get medical care.
Do not go to work, school, or public areas.
Do not use public transportation, ridesharing, or taxis.
Separate yourself from other people and animals in your home.
- As much as possible, you should stay in a specific room and away from other people in your home. Also, you should use a separate bathroom, if available. If you must share a bathroom, you or your housemates should clean surfaces regularly (see below).
- Wear a surgical type mask or cover your nose and mouth with a scarf or other cloth if you are in the same room with others.
Call ahead before visiting your doctor
If you need to have a medical visit, call the health care provider and tell them that you have symptoms that are consistent with COVID-19. This will help the health care provider’s office take steps to keep other people from getting exposed or infected.
Wear a facemask or face covering
- Wear a facemask when you are around other people (for example, sharing a room or vehicle) and before you enter a healthcare provider’s office.
- If you do not have a face mask, cover your nose and mouth with a scarf or other home-made face covering (such as a cut-up tee shirt or similar).
If you are not able to wear a face covering (for example, because it causes trouble breathing), then people who live with you should not be in the same room with you, or they should wear a face covering if they enter your room.
Cover your coughs and sneezes
- Cover your mouth and nose with a tissue when you cough or sneeze. Throw used tissues in a lined trash can. If you do not have a tissue, cover your cough or sneeze with your arm and elbow, not your hand.
- Immediately wash your hands with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer that contains at least 60% alcohol if water and soap are not available.
Avoid sharing personal household items
- Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people or pets in your home.
- After using these items, they should be washed thoroughly with soap and water.
Clean your hands often
- Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol.
- Avoid touching surfaces and objects that others touch frequently (“high-touch” surfaces) with unwashed hands.
Clean all 'high-touch' surfaces every day
- High-touch surfaces include counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables.
- Clean any surfaces that may have blood, stool, or body fluids on them.
- Use a household cleaning spray or wipe, according to the label instructions.
Monitor your symptoms
- Seek medical attention right away if your illness is gets worse (e.g., difficulty breathing).
- Before seeking care, call your health care provider and tell them that your symptoms are consistent with COVID-19.
- Put on a facemask before you enter the facility.
- If you have a medical emergency and need to call 911, notify the dispatch personnel that you have symptoms consistent with COVID-19. If possible, put on a facemask before emergency medical services arrive.
If you have tested positive for COVID-19, you should remain under home isolation precautions until it is determined that you are no longer contagious. Your local public health department will communicate this with you. If you were unable to get tested but were told to isolate by a medical provider, please reach out to your primary care provider for guidance on release from isolation.
If you do not have a primary care provider, call the Mayor’s Health Line at 617-534-5050.
The City of Boston is partnering with community health centers to increase access to testing, particularly in neighborhoods experiencing higher rates of COVID-19. We also have a list of mobile testing sites: