This COVID-19 Remdesivir Trial Patient Referral Form is for referring physician use only.

As a health care provider, if you have a patient who is documented to be COVID-19 positive by PCR test and has a temperature of 37.2 degrees Celsius or higher, please fill out this Patient Referral Form and we will get back to you as soon as possible to discuss next steps.

Thank you for your interest in the Remdesivir treatment trial for moderate and severe COVID-19 infection.

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