Covid-19 Testing Registration Form
Please provide your Full Name, Date of Birth, Phone Number and a Valid Email address for the creation of Health Certificates, and Fit-To-Fly Forms after testing negatively for COVID-19. Your information will remain confidential and with Stevanovic Family Clinic only.
NOTE: It is illegal to share patient data of any type without permission.
Stevanovic Family Clinic
11111 West Oklahoma Avenue
Milwaukee, WI 53227
Tel: (414) 546-8000
Monday 10:00am – 6:00pm
Tuesday 10:00am – 6:00pm
Thursday 9:00am – 1:00pm
Friday 10:00am – 6:00pm
Wisconsin Poison Control (800) 222-1222
Fire Safety http://www.usfa.dhs.gov/citizens
Saint Francis Hospital (414) 647- 5000
Answering Service (414) 649-3657