CENTRAL ARKANSAS COVID-19 DRIVE THRU TESTING Question Title * 1. Name (Last, First, Middle Initial) Question Title * 2. Date of Birth? (MM/DD/YYYY) Question Title * 3. Current Address (No P.O. Boxes) Question Title * 4. Cellphone number Question Title * 5. Testing Location (select one) Faulkner County Health Unit (811 North Creek, Conway, AR 72032) Pulaski County Health Unit (3915 West 8th Street, Little Rock, AR 72204) Done