Coronavirus/COVID-19 Updates

Anyone who is elegible can register for a COVID-19 Vaccine.

Anyone who is eligible can register for a COVID-19 vaccine.


RAHC offers the Spikevax/Moderna COVID-19 vaccine and booster for adults aged 18 years and older.

Please call or send a text message to (540) 464-8700 to schedule an appointment.

Click here to pre-register online for an adult COVID-19 vaccine appointment.

Youth and teens

RAHC is administering Pfizer COVID-19 vaccines to youth ages 5-11 and the Comirnaty/Pfizer COVID-19 vaccines to teens 12-17 years old.

Youth and teen vaccine clinics take place by appointment only.

Please call (540) 464-8700 and dial either extension 7162 or 7183 to pre-register for a youth or teen COVID-19 vaccine.

COVID-19 Testing

Rockbridge Area Health Center is offering PCR tests to the community. Results are typically available within 2-3 business days.

COVID-19 testing appointments are available on Monday – Friday from 8am – 11:50am and 1pm – 3:50pm.*

To schedule an appointment, call or send a text message to (540) 464-8700.

Click here to pre-register online for a COVID-19 test.

Self-Testing At Home or Anywhere


What is a Self-Test or At-Home Test?

Self-tests for COVID-19 give rapid results and can be taken anywhere, regardless of your vaccination status or whether or not you have symptoms.

  • They detect current infection and are sometimes also called “home tests,” “at-home tests,” or “over-the-counter (OTC) tests.”
  • They give your result in a few minutes and are different from laboratory-based tests that may take days to return your result.
  • Self-tests along with vaccination, wearing a well-fitted mask, and physical distancing, help protect you and others by reducing the chances of spreading COVID-19.
  • Self-tests do not detect antibodies which would suggest a previous infection and they do not measure your level of immunity.

When To Take an At-Home COVID-19 Test

Test Yourself If… Timing
You have any COVID-19 symptoms Immediately
You were exposed to someone with COVID-19

At least 5 days after your exposure

If you test negative for COVID-19, consider testing again 1 to 2 days after your first test

You are going to an indoor event or a gathering

Immediately before the gathering, or as close to the time of the event as possible

This is especially important before gathering with individuals at risk of severe disease, older adults, those who are immunocompromised, or people who are not up to date on their COVID-19 vaccines, including children who cannot get vaccinated yet.

How to Get an At-Home COVID-19 Test

  • Order free tests at
  • Buy tests online or in pharmacies and retail stores. Private health insurance may reimburse the cost of purchasing self-tests. Visit FDA’s website for a list of authorized tests.

Frequently Asked Questions

Updated May 20, 2022

Do I need an appointment to be tested for COVID-19?

Yes, anyone in the community may call or send a text message to (540) 464-8700 and select option 1 and then option 1 to schedule an appointment.

How long will my results take, and can I get them in writing?

Results are typically available within 2-3 business days and can be obtained and printed through our Patient Portal.

If I was exposed to someone who tested positive for COVID-19 and want to be tested, will my insurance cover the testing?

In most cases COVID-19 testing due to exposure to COVID positive individuals is covered by insurance. The diagnosis code used in this scenario is Z80.822.

If I start having symptoms and want to be tested, will my insurance cover the testing?

In most cases COVID-19 testing due to having COVID-19 symptoms is covered by insurance. The diagnosis code used for this scenario is Z80.822.

If I need a test result for travel or to attend an event, when should I get tested?

Currently, the PCR test results are available in 2-3 business days. RAHC is not open on the weekend. Test results performed on Thursday or Friday would not be available until the following week.

What type of COVID-19 testing do you do at RAHC?

We perform PCR testing as it has proven to be more accurate.

My employer is requiring negative test results in order for me to begin or return to work. Will this be covered by insurance?

COVID-19 testing required by some employers (considered screening) may not be covered by insurance. Please check with your insurance company. The diagnosis code used in this scenario is Z11.52.

What is the cost for COVID-19 testing for uninsured patients or if insurance does not cover the cost of testing?

The cost for COVID-19 testing not covered by insurance is $140. Financial assistance may be available for eligible patients, please refer to our sliding fee discount program.

What is the difference between an additional primary dose and a booster shot?

An additional primary dose is administered to people with moderately to severely compromised immune systems. The additional primary dose of an mRNA COVID-19 vaccine is intended to improve immunocompromised people’s response to their vaccine primary series.

A booster shot is administered when a person has completed their vaccine primary series to enhance or restore protection against COVID-19 which may have decreased over time.

Who should receive an additional primary dose?

After completing the primary series, some moderately or severely immunocompromised people should get an additional primary shot.

Everyone 12 years and older, including immunocompromised people, should get a booster shot at least 5 months after receiving their primary vaccine series. Immunocompromised people are eligible for a 3rd primary dose 28 days after their 2nd dose, for a total of 4 doses for immunocompromised individuals.

People age 5+ who are moderately or severely immunocompromised should get an additional primary shot of Pfizer-BioNTech COVID-19 vaccine 28 days after their 2nd shot.

People age 18+ who received the Spikevax/Moderna vaccine and are moderately or severely immunocompromised should get an additional primary shot of Spikevax/Moderna COVID-19 vaccine.

This includes people who have:

  • Been receiving active cancer treatment for tumors or cancers of the blood
  • Received an organ transplant and are taking medicine to suppress the immune system
  • Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system
  • Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)
  • Advanced or untreated HIV infection
  • Active treatment with high-dose corticosteroids or other drugs that may suppress your immune response
Individuals should talk to their healthcare provider about their medical condition, and whether getting an additional primary dose is appropriate for them.

Currently, CDC does not recommend an additional primary dose if you received a single-dose J&J/Janssen COVID-19 vaccine.

Who should receive a booster shot?

The CDC recommends an mRNA COVID-19 booster shot at least 5 months after completing your primary COVID-19 vaccination series of the Spikevax/Moderna and/or Comirnaty/Pfizer-BioNTech COVID-19 vaccine and at least two months after receiving a J&J/Jansset COVID-19 vaccine.

Adults may choose which vaccine they receive as a booster dose. FDA & CDC’s recommendations now allow for this type of mix and match dosing for booster shots.

The CDC recommends that teens ages 12 to 17 years old should receive the Comirnaty/Pfizer-BioNTech COVID-19 booster shot at least 5 months after completing their Comirnaty/Pfizer-BioNTech COVID-19 primary series.

The CDC recommends that youth ages 5-11 years old should receive a Pfizer COVID-19 booster shot at least 5 months after completing their initial COVID-19 primary series.

You are eligible for a second booster shot, using an mRNA COVID-19 vaccine, at least 4 months after your first booster shot if you are:

  • Age 12+ years and moderately or severely immunocompromised.
  • Age 50+ years (regardless of whether or not you are immunocompromised).
  • Age 18–49 years and not moderately or severely immunocompromised and received Janssen (J&J) COVID-19 Vaccine as both the primary dose and booster dose.
  • If you are 18-49 years and received a J&J primary dose and an mRNA booster, no 2nd booster is currently recommended.
  • If you are age 50+ and received a J&J primary dose and an mRNA booster, you can receive a 2nd mRNA booster 4 months after the previous booster dose.
  • People who got 2 doses (1 primary dose and 1 booster) of Johnson & Johnson’s Janssen vaccine.

These recommendations allow people who may be at increased risk to severe outcomes due to COVID-19 to receive additional protection. People should assess their own personal risk and are encouraged to consult with a healthcare provider on what would be best for their situation.

If we need a booster shot, are the vaccines working?

Yes. COVID-19 vaccines are working well to prevent severe illness, hospitalization, and death. However, public health experts are starting to see reduced protection over time against mild and moderate disease, especially among certain populations.

Do I need an appointment to get a COVID-19 vaccine?

Yes, please call or send a text message to (540) 464-8700 and follow the prompts to schedule an appointment. For non-patients, please register online and we will contact you to be scheduled.

What’s the difference between quarantine and isolation?

Isolate when you are sick or when you have a positive COVID-19 test, even if you don’t have symptoms.

Quarantine and stay away from others when you have been in close contact with someone who has COVID-19.

How long should I be in quarantine or isolation?

The CDC has provided aQuarantine & Isolation Calculator for guidance. Select the option that describes your situation, enter the relevant date, and the calculator will provide guidance on when isolation or quarantine at home may end.

This guidance is for members of the general public and may not apply to healthcare facilities, high-risk congregate settings, or other setting-specific groups.

This tool is not for:

  • People with COVID-19 who are moderately or severely ill or who have a weakened immune system.
  • Cases and close contacts identified in certain settings. Parents with children in K-12 schools or early care and education programs should consult the program administrator for specific isolation and quarantine guidance in their school or care setting.

Visitor Guidelines

In order to protect the health of our communities, and as a safety precaution to prevent the risk of spreading COVID-19, the Rockbridge Area Health Center has instituted visitor restrictions.

If a patient is having an in-person visit, the following visitor guidelines have been put in place to help reduce the spread of COVID-19 and to keep our patients and employees safe. If the patient is uncomfortable with an in-person visit, we encourage patients to consider telehealth visits whenever possible.

  • All visitors will be screened when entering the building
  • All visitors are required wear a mask at all times in the building. This applies to vaccinated and unvaccinated individuals. If visitors do not have a mask, we will provide one for you. Patients unwilling to wear a mask may have their appointment rescheduled. Masks with valves, bandanas and gaiters are not permitted.
  • Proceed directly to the patient room when called, and directly to the exit upon leaving.
  • Remain in patient rooms unless instructed by staff.
  • Practice social distancing and remain six feet from patients when possible.
  • For everyone’s safety, we strongly advise that no visitors accompany patients 18 years and older into the building, unless the patient has physical or cognitive impairments requiring assistance and help navigating the appointment. One designated visitor for pediatric patients (parent or legal guardian).
  • At the discretion of the physician, patients who arrive with children and have no other childcare options may keep their children with them during their stay. Appropriate PPE may be required.

There may be exceptions to this guideline, for example:

  • Couples or family therapy
  • Someone requiring nitrous for dental who may want a visitor to accompany them
  • Newborn parents where Mom has weight restrictions, so Dad must bring in the carrier

Patients can request an exception when scheduling their appointment.

Thank you for your support and for helping us protect our patients and our staff!