Symptoms & Testing


**At-home test kits: please notify Okanogan County Public Health of any positive result by completing this online form.
**To order free, at-home test kits, visit: or
A limited supply of at-home kits are available at libraries in Brewster, Pateros, Twisp, Winthrop, Omak, Okanogan, Oroville. Visit for hours and contact information.

Where to get tested:

Updated April 7, 2022

AeroMethow Rescue Service
Take home COVID-19 antigen tests and
mail-in PCR tests available for pick-up.
Stop by Monday – Friday, 8:00am – 4:00pm.

Confluence Health, Omak/Winthrop
Offering antigen tests, call for appointment

Confluence Health COVID-19 Hotline

Coulee Medical Center, Grand Coulee

Family Health Centers, Brewster
Call for an appointment. No travel tests available at this time.

Family Health Centers, Bridgeport
Call for an appointment. No travel tests available at this time.

Family Health Centers, Omak
Call for an appointment. No travel tests available at this time.

Family Health Centers, Tonasket
Call for an appointment. No travel tests available at this time.

Family Health Centers, Twisp
Call for an appointment. No travel tests available at this time.

Fire District 15, Brewster
Offering free rapid (antigen) tests for exposed or symptomatic
individuals, 7 days per week, 9am-430pm.
412 W Indian Ave, Brewster

Lakeside Pharmacy, Oroville
Offering free rapid (antigen) tests for exposed or symptomatic
individuals. Schedule a testing appointment here:

LifeLine Ambulance, Omak
Free drive-thru PCR testing, M-F from 7am-2pm. No appointment needed, allow 48-72 hours for test result. 913 Koala Ave, Omak

Mid-Valley Clinic, Omak

Offering COVID-19 tests (PCR) by appointment. No travel testing available at this time. Allow 6 hours to receive test result. *Park in the designated space and call (509) 322-8697 on arrival

Mid-Valley Hospital, Omak
Offering COVID-19 tests (PCR) by appointment. No travel testing available at this time. Allow 6 hours to receive test result. *Park in the designated space and call (509) 861-2430 on arrival

North Valley Hospital, Tonasket
Offering COVID-19 tests (PCR) during the following hours: M-F from 9am-4pm, and Saturdays from 9am-2pm (travel testing only). Test results ready at 8am the following day. Symptomatic/Exposed patients are asked to call 509-486-2151 for an appointment and park in “Zone B” at the front entrance of the Hospital for collection. Travel testing can be accommodated depending on testing load, please call 509-486-2151 to inquire.

Three Rivers Family Medicine, Brewster
Arranging COVID-19 tests (PCR) for symptomatic patients or those who’ve been exposed. Please call during the following hours to request a test: M-F from 9am-5pm.

Three Rivers Hospital, Brewster
Offering non-urgent COVID-19 tests (PCR or antigen) during the following hours: M-F, 8am-4pm. No non-urgent testing on weekends. Please allow 48-72 hours for PCR test results. Direct non-urgent questions about testing to: or (509) 689-2517. The ER is open 24/7 for anyone experiencing severe COVID-19 symptoms. Check for updates.

Okanogan County Public Health recommends that anyone who has COVID-19 symptoms should assume that they have COVID-19 and should isolate from others for a five days. Anyone who has had close contact with someone who has COVID-19 should wear a well-fitting mask (N95) and should test five days after they were exposed, if possible. For a detailed explanation of current isolation and quarantine recommendations, visit:

Signs & Symptoms

People with COVID-19 experience a wide range of symptoms, from mild fatigue to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People experiencing the following symptoms may have COVID-19 and should consult a medical provider:

  • 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
  • Diarrhea

This list does not include all possible symptoms. Please consult your medical provider if you experience any other symptoms that are severe or concerning to you.

How does testing prevent the spread of illness?

Testing allows people who have symptoms or may have been exposed to COVID-19 to know if they have the virus. If someone does have the virus, they are able to spread it to other people. By getting tested and following healthcare guidance to isolate and quarantine, you are breaking the transmission cycle of COVID-19 to other people.

Should I get tested?

Testing ensures disease transmission can be tracked and interrupted and is very important for our community’s health. Okanogan County Public Health also recommends anyone who has symptoms consistent with COVID-19 get tested.

We recommend testing for people who have been in close contact with an individual who has tested positive for COVID-19 or was exposed to an outbreak situation.

For Healthcare Providers see NCW Regional Testing Guidelines


What if I don’t have insurance?

There are several locations offering COVID-19 testing for free (see list above). COVID-19 tests for travel purposes are not provided free of charge.

At-home test kits are available for free while supplies last from the following: or

Beginning January 2022, insurance companies are required to pay the cost of at-home test kits. More information on this program is here.

What happens after I get tested?

If you were exposed to COVID-19 but don’t have symptoms: stay home for 5 days from the date you were exposed. Be sure to watch for symptoms, they can appear 2-14 days after exposure.

If you have COVID-19 or COVID-19 symptoms: stay in isolation until three days after your fever is gone without using medicine AND your other symptoms have improved (for example, cough or shortness of breath) AND at least 5 days after your symptoms first started.

What should I do if I have COVID-19?

If you are ill with COVID-like symptoms, assume you have COVID-19 and stay home. If you have access to a home test, test yourself 2-5 days after your symptoms began. If you test positive, follow the guidance listed here:

If you have mild symptoms, and can care for yourself at home, please do so. If your symptoms get worse, contact your healthcare provider. If you are having an emergency, call 9-1-1 or go to the Emergency Department.

Please do not go to the Emergency Department unless you are having an emergency. If you need to speak to someone about your symptoms and how best to care for yourself, please call your healthcare provider.

Most people with COVID-19 have mild illness and are able to recover at home without medical care. However, some people have severe illness that leads to hospitalization, ventilation, or even death. Certain people are at higher risk of experiencing severe illness than others, including people who are older, people with underlying health conditions, those who are immune-compromised, and pregnant women. However, many people under the age of 60 who are otherwise healthy have experienced severe illness or death.

What to do if you were exposed to COVID-19

If you think you have been exposed to someone with COVID-19, follow the steps listed here:


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