diff --git a/pwa/src/App.tsx b/pwa/src/App.tsx
index 2f614fd..0f251d0 100644
--- a/pwa/src/App.tsx
+++ b/pwa/src/App.tsx
@@ -10,6 +10,7 @@ import Wrapper from './Wrapper'
 import PatientInfoForm from './components/PatientInfoForm'
 import PatientSearch from './components/PatientSearch'
 import DiagnosisForm from './components/DiagnosisForm'
+import TestResults from './components/TestResultsForm'
 
 import './scss/App.scss'
 import './antd-mobile.css'
@@ -45,14 +46,24 @@ const App: React.FunctionComponent = () => {
                         </Wrapper>
                     </Route>
                     <Route path="/diagnosis">
-                    <Wrapper
-                        navTitle="Diagnosis"
-                        leftArrowText="Patient Info"
-                        leftArrowRoute="/patientinfo"
-                    >
-                        <DiagnosisForm />
-                    </Wrapper>
-                </Route>
+                        <Wrapper
+                            navTitle="Diagnosis"
+                            leftArrowText="Patient Info"
+                            leftArrowRoute="/patientinfo"
+                        >
+                            <DiagnosisForm />
+                        </Wrapper>
+                    </Route>
+                    <Route path="/tests">
+                        <Wrapper
+                            navTitle="Tests"
+                            // TODO: uncomment when Treatment component is completed
+                            // leftArrowText="Treatment"
+                            // leftArrowRoute="/treatment"
+                        >
+                            <TestResults />
+                        </Wrapper>
+                    </Route>
                     <Route path="/easy-peasy">
                         <DebugShowEasyPeasy />
                     </Route>
diff --git a/pwa/src/components/TestResultsFields.json b/pwa/src/components/TestResultsFields.json
new file mode 100644
index 0000000..da5b972
--- /dev/null
+++ b/pwa/src/components/TestResultsFields.json
@@ -0,0 +1,3 @@
+{
+    "uaResultFields": ["Glucose", "Nitrites", "Protein", "Leukocytes"]
+}
diff --git a/pwa/src/components/TestResultsForm.test.tsx b/pwa/src/components/TestResultsForm.test.tsx
new file mode 100644
index 0000000..6f3f96d
--- /dev/null
+++ b/pwa/src/components/TestResultsForm.test.tsx
@@ -0,0 +1,184 @@
+import React from 'react'
+import { render, fireEvent } from '@testing-library/react'
+import TestResultsForm from './TestResultsForm'
+import * as data from './TestResultsFields.json'
+
+const testText = [
+    'HCG \\(Pregnancy\\)',
+    'Blood Sugar',
+    'UA \\(Urine Analysis\\)',
+]
+
+const testID = ['pregnancy-test', 'blood-sugar-test', 'ua-test']
+
+test('renders the form', () => {
+    const dom = render(<TestResultsForm />)
+    expect(dom.getByTestId('test-results-form-wrapper')).toBeTruthy()
+})
+
+test('renders each test option as a checkbox and is able to be checked / unchecked', () => {
+    const { getByText, getByTestId } = render(<TestResultsForm />)
+
+    testText.forEach((testName) => {
+        const re = new RegExp(testName, 'gi')
+        const field = getByText(re)
+        expect(field).toBeInTheDocument()
+    })
+
+    testID.forEach((testID) => {
+        const checkboxItem = getByTestId(testID)
+        expect(checkboxItem).toHaveClass('am-checkbox-item')
+
+        const checkBox = checkboxItem.getElementsByTagName('span')[0]
+        expect(checkBox).not.toHaveClass('am-checkbox-checked')
+        const checkBoxInput = checkboxItem.getElementsByClassName(
+            'am-checkbox-input',
+        )[0]
+        fireEvent.click(checkBoxInput)
+        expect(checkBox).toHaveClass('am-checkbox-checked')
+    })
+})
+
+test('pregnancy-results div is only displayed if pregnancy test is selected', () => {
+    const { getByTestId, queryByTestId } = render(<TestResultsForm />)
+
+    // ensure the pregnancy-results div is not displayed
+    const re = new RegExp('^pregnancy-results$', 'gi')
+    expect(queryByTestId(re)).toBeFalsy()
+
+    // check the pregnancy-test checkbox
+    const checkboxItem = getByTestId('pregnancy-test')
+    expect(checkboxItem).toHaveClass('am-checkbox-item')
+    const checkBoxInput = checkboxItem
+        .getElementsByTagName('span')[0]
+        .getElementsByClassName('am-checkbox-input')[0]
+    fireEvent.click(checkBoxInput)
+
+    // ensure the pregnancy-results div is displayed
+    expect(getByTestId(re)).toBeTruthy()
+
+    // Uncheck the checkbox
+    fireEvent.click(checkBoxInput)
+
+    // ensure the pregnancy-results div is no longer displayed
+    expect(queryByTestId(re)).toBeFalsy()
+})
+
+test('pregnancy results is displayed as a checkbox and is able to be checked / unchecked', () => {
+    const { getByTestId } = render(<TestResultsForm />)
+
+    // check the pregnancy-test checkbox to display the pregnancy-results div
+    const checkBoxInput = getByTestId('pregnancy-test')
+        .getElementsByTagName('span')[0]
+        .getElementsByClassName('am-checkbox-input')[0]
+    fireEvent.click(checkBoxInput)
+
+    // ensure negative and positive checkboxes are initilaly displayed unchecked
+    const negativeRadioButtonDiv = getByTestId('pregnancy-results-negative')
+    const positiveRadioButtonDiv = getByTestId('pregnancy-results-positive')
+    const negativeRadioButton = negativeRadioButtonDiv.getElementsByTagName(
+        'span',
+    )[0]
+    const positiveRadioButton = positiveRadioButtonDiv.getElementsByTagName(
+        'span',
+    )[0]
+    expect(negativeRadioButton).not.toHaveClass('am-radio-checked')
+    expect(positiveRadioButton).not.toHaveClass('am-radio-checked')
+
+    // select "Negative"
+    fireEvent.click(negativeRadioButtonDiv)
+
+    // ensure negative is checked and positive is unchecked
+    expect(negativeRadioButton).toHaveClass('am-radio-checked')
+    expect(positiveRadioButton).not.toHaveClass('am-radio-checked')
+
+    // select "Positive"
+    fireEvent.click(positiveRadioButtonDiv)
+
+    // ensure negative is unchecked and positive is checked
+    expect(negativeRadioButton).not.toHaveClass('am-radio-checked')
+    expect(positiveRadioButton).toHaveClass('am-radio-checked')
+})
+
+test('blood-sugar-results div is only displayed if blood sugar test is selected', () => {
+    const { getByTestId, queryByTestId } = render(<TestResultsForm />)
+
+    // ensure the blood-sugar-results div is not displayed
+    const re = new RegExp('^blood-sugar-results$', 'gi')
+    expect(queryByTestId(re)).toBeFalsy()
+
+    // check the blood-sugar-test checkbox
+    const checkboxItem = getByTestId('blood-sugar-test')
+    expect(checkboxItem).toHaveClass('am-checkbox-item')
+    const checkBoxInput = checkboxItem
+        .getElementsByTagName('span')[0]
+        .getElementsByClassName('am-checkbox-input')[0]
+    fireEvent.click(checkBoxInput)
+
+    // ensure the blood-sugar-results div is displayed
+    expect(getByTestId(re)).toBeTruthy()
+
+    // uncheck the checkbox
+    fireEvent.click(checkBoxInput)
+
+    // ensure the blood-sugar-results div is no longer displayed
+    expect(queryByTestId(re)).not.toBeTruthy()
+})
+
+test('blood sugar results fields is a number input box', () => {
+    const { getByTestId } = render(<TestResultsForm />)
+
+    // check the blood-sugar-test checkbox to display the blood-sugar-results div
+    const checkBoxInput = getByTestId('blood-sugar-test')
+        .getElementsByTagName('span')[0]
+        .getElementsByClassName('am-checkbox-input')[0]
+    fireEvent.click(checkBoxInput)
+
+    // ensure result field is displayed as a number input box
+    expect(getByTestId('blood-sugar-results-val')).toBeTruthy()
+    expect(getByTestId('blood-sugar-results-val')).toHaveAttribute(
+        'type',
+        'text',
+    )
+})
+
+test('ua-results div is only displayed if UA test is selected', () => {
+    const { getByTestId, queryByTestId } = render(<TestResultsForm />)
+
+    // ensure the ua-results div is not displayed
+    const re = new RegExp('^ua-results$', 'gi')
+    expect(queryByTestId(re)).toBeFalsy()
+
+    // check the ua-test checkbox
+    const checkboxItem = getByTestId('ua-test')
+    expect(checkboxItem).toHaveClass('am-checkbox-item')
+    const checkBoxInput = checkboxItem
+        .getElementsByTagName('span')[0]
+        .getElementsByClassName('am-checkbox-input')[0]
+    fireEvent.click(checkBoxInput)
+
+    // ensure the ua-results div is displayed
+    expect(getByTestId(re)).toBeTruthy()
+
+    // uncheck the checkbox
+    fireEvent.click(checkBoxInput)
+
+    // ensure the ua-results div is no longer displayed
+    expect(queryByTestId(re)).not.toBeTruthy()
+})
+
+test('ua test results are rendered as number input boxes', () => {
+    const { getByTestId } = render(<TestResultsForm />)
+    // check the ua-test checkbox  to display the ua-results div
+    const checkBoxInput = getByTestId('ua-test')
+        .getElementsByTagName('span')[0]
+        .getElementsByClassName('am-checkbox-input')[0]
+    fireEvent.click(checkBoxInput)
+
+    // ensure each result field is displayed as a number input box
+    data.uaResultFields.forEach((field) => {
+        const fieldRe = new RegExp(field.toLowerCase() + `-results-val`, 'gi')
+        expect(getByTestId(fieldRe)).toBeTruthy()
+        expect(getByTestId(fieldRe)).toHaveAttribute('type', 'text')
+    })
+})
diff --git a/pwa/src/components/TestResultsForm.tsx b/pwa/src/components/TestResultsForm.tsx
new file mode 100644
index 0000000..ad5ada7
--- /dev/null
+++ b/pwa/src/components/TestResultsForm.tsx
@@ -0,0 +1,122 @@
+import React, { ReactElement, useState } from 'react'
+import { Checkbox, List, Radio, WhiteSpace, InputItem } from 'antd-mobile'
+import '../scss/TestResultsForm.scss'
+import * as data from './TestResultsFields.json'
+
+const RadioItem = Radio.RadioItem
+const CheckboxItem = Checkbox.CheckboxItem
+
+export default function TestResultsForm(): ReactElement {
+    // State Hooks used for result div visibility
+    const [pregnancyTest, setPregnancyTest] = useState(0) // Default: 0 (unchecked)
+    const [pregnancyTestPositive, setPregnancyTestPositive] = useState(
+        null as number,
+    ) // Default: null (none selected)
+    const [bloodSugarTest, setBloodSugarTest] = useState(0) // Default: 0 (unchecked)
+    const [ua, setUA] = useState(0) // Default: 0 (unchecked)
+
+    // Data for Radio Buttons
+    const radioPosNeg = [
+        { value: 0, label: 'Negative' },
+        { value: 1, label: 'Positive' },
+    ]
+    const uaResultElements: ReactElement[] = []
+
+    return (
+        <div
+            id="test-results-form-wrapper"
+            data-testid="test-results-form-wrapper"
+        >
+            <List>
+                {' '}
+                <CheckboxItem
+                    id="pregnancy-test"
+                    data-testid="pregnancy-test"
+                    onChange={() => setPregnancyTest(pregnancyTest ? 0 : 1)}
+                    title="HCG (Pregnancy) Test Performed"
+                >
+                    HCG (Pregnancy) Test Performed
+                </CheckboxItem>
+                {pregnancyTest ? (
+                    <div id="pregnancy-results" data-testid="pregnancy-results">
+                        <List renderHeader={() => 'HCG (Pregnancy) Results'}>
+                            {radioPosNeg.map((i) => (
+                                <RadioItem
+                                    key={i.value}
+                                    data-testid={
+                                        `pregnancy-results-` +
+                                        i.label.toLowerCase()
+                                    }
+                                    name={
+                                        `pregnancy-results-` +
+                                        i.label.toLowerCase()
+                                    }
+                                    // name="pregnancy-results-radio"
+                                    checked={pregnancyTestPositive === i.value}
+                                    onClick={() =>
+                                        setPregnancyTestPositive(i.value)
+                                    }
+                                >
+                                    {i.label}
+                                </RadioItem>
+                            ))}
+                            <WhiteSpace className="list-whitespace" size="lg" />
+                        </List>
+                    </div>
+                ) : null}
+                <CheckboxItem
+                    id="blood-sugar-test"
+                    data-testid="blood-sugar-test"
+                    onChange={() => setBloodSugarTest(bloodSugarTest ? 0 : 1)}
+                >
+                    Blood Sugar Test Performed
+                </CheckboxItem>
+                {bloodSugarTest ? (
+                    <div
+                        id="blood-sugar-results"
+                        data-testid="blood-sugar-results"
+                    >
+                        <List renderHeader={() => 'Blood Sugar Results'}>
+                            <InputItem
+                                type="number"
+                                id="blood-sugar-results-val"
+                                data-testid="blood-sugar-results-val"
+                                placeholder="mg/dL"
+                                maxLength={3}
+                            ></InputItem>
+                            <WhiteSpace className="list-whitespace" size="lg" />
+                        </List>
+                    </div>
+                ) : null}
+                <CheckboxItem
+                    id="ua-test"
+                    data-testid="ua-test"
+                    onChange={() => setUA(ua ? 0 : 1)}
+                >
+                    UA (Urine Analysis) Test Performed
+                </CheckboxItem>
+                {/* Create UA Results internal elements to insert*/}
+                {data.uaResultFields.map((fieldName) => {
+                    uaResultElements.push(
+                        <InputItem
+                            id={fieldName.toLowerCase() + '-results-val'}
+                            data-testid={
+                                fieldName.toLowerCase() + '-results-val'
+                            }
+                            placeholder="0"
+                        >
+                            {fieldName}
+                        </InputItem>,
+                    )
+                })}
+                {ua ? (
+                    <div id="ua-results" data-testid="ua-results">
+                        <List renderHeader={() => 'UA Results'}>
+                            {uaResultElements}
+                        </List>
+                    </div>
+                ) : null}
+            </List>
+        </div>
+    )
+}
diff --git a/pwa/src/scss/TestResultsForm.scss b/pwa/src/scss/TestResultsForm.scss
new file mode 100644
index 0000000..11a37ec
--- /dev/null
+++ b/pwa/src/scss/TestResultsForm.scss
@@ -0,0 +1,5 @@
+#test-results-form-wrapper {
+    .list-whitespace {
+        background-color: #f5f5f9;
+    }
+}