By completing this form you are giving consent to the CNMI Governor's COVID-19 Task Force to gather your personal information and schedule you for a nasopharyngeal specimen collection appointment.
I consent to have my results made available via an online portal. I understand that the email address I submit on this form will be used to email my test results.
If you have tested positive, the Commonwealth Healthcare Corporation and/or the Governor's COVID-19 Task Force may contact me directly with further instructions.
CHCC and the Governor's COVID-19 Taskforce advises all travelers to check their final destinations' COVID-19 entry requirements and airport and airline requirements.
For children under the age of 18, I consent for my child to get tested for COVID-19.