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By selecting the SUBMIT button, I give EXPRESS WRITTEN CONSENT authorizing Medi-Mate Health pack to be my preferred provider for up to eight (8) FDA approved Covid-19 Rapid Antigen Tests each month (refilled monthly) if covered by Medicaid, Medicare, CHIP, or my private health insurance plan or prescribed by my provider. I also give EXPRESS WRITTEN CONSENT authorizing Medi-Mate Health Pack to be my preferred provider for up to two (2) FDA approved Covid-19 Rapid Molecular and/or Rapid Antigen or Molecular Covid-19/FLU A/FLU B (3-1 combination) test to expedite diagnostic results if requested, prescribed, and or due to exposure, or multiple chronic conditions that could require expedited URGENT diagnosis by my healthcare provider. These tests are provided at no cost to me and are 100% covered by Medicare, Medicaid, CHIP, or my private health insurance plan. In addition, I am authorizing Medi-Mate Health Pack & My Virtual Physician, P.C. to connect me by phone, email, and text for additional services and/or benefits.