To request any of our free services including an ICAR consultation, training, N-95 Fit Testing, COVID-19 Vaccinations, COVID-19 Test Kits, or to have the UAB LTC Strike Team IP Contact you, please fill out the form below. Include as many details as possible and we will respond to your request in a timely manner.

If you have any problems filling out this form please contact us at We will be glad to assist you.

ICAR Request Form
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