By Signing in the box below I am stating the following: I understand that my personal information and test results will be shared with the Michigan Department of Health. I understand if the person being tested is under 18 years old, a parent or guardian must be present at testing. I understand that the results of the BD Veritor Plus COVID 19 Rapid Antigen nasal swab test should not be used as the sole determination of the presence or absense of the Covid 19 Virus. I agree to pay for this test our of pocket and if desired to seek reimbursement from my insurance company directly. I consent to being tested by Clawson Care Pharmacy Facility CLIA ID 23D2207234 and confirm that I am at least eighteen years of age or signing for a minor under the ago of eighteen.