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 California 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 consent to being tested by Innovative Compounding Pharmacy Facility CLIA ID 05D2219107 and confirm that I am at least eighteen years of age or signing for a minor under the ago of eighteen. I also authorize Innovative Compounding Pharmacy to email my results to the email indicated on this form! Please Note, this is a NON-Refundable TEST. Only submit if you are committed. Thank You!