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Register for Testing


100 Stafford Lane, Delta CO 81416, US

Patient Information

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Custom State Required Questions
According to the CDC:
People with COVID-19 have had a wide range of symptoms reported - ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:
  • 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
General Consent for COVID-19 Testing in the state of Colorado

By submitting this form, I attest that:
  • I authorize this COVID-19 testing unit to conduct collection and testing for COVID-19 through anterior nares or saliva swabs, as authorized by a medical provider or public health official.
  • I authorize my test results to be disclosed to the county, state, or to any other governmental entity as may be required by law.
  • I understand that I am not creating a patient relationship with the testing location by participating in testing. I understand that Mako is not acting as my medical provider. Testing does not replace treatment by my medical provider. I assume complete and full responsibility to take appropriate action with regards to my test results. I agree I will seek medical advice, care, and treatment from my medical provider if I have questions or concerns, or if my condition worsens.
  • I understand that, as with any medical test, there is the potential for a false positive or false negative COVID-19 test result.
  • I have been informed about the test purpose, procedures, possible benefits, and risks. I have been given the opportunity to ask questions before I sign, and I may ask additional questions at any time.
  • My consent for this screening test for COVID-19 is knowing and voluntary.