Good Hearts Testing, LLC
Mobile Diagnostic Testing: Informed Consent and Release
Please carefully read and sign the following Informed Consent and Release:
I, the undersigned, have been informed about the test purpose, procedures, possible benefits and risks of the procedure. I have been given the opportunity to ask questions before I sign, and I have been told that I can ask additional questions at any time. I voluntarily agree to this testing for diagnostic laboratory testing.
RELEASE OF LIABILITY AND WAIVER OF RIGHTS:
I, the undersigned, accept that services might be rendered in a non-private setting. Furthermore, I hereby release and forever discharge for myself, my heirs, executors, administrators and assignees Good Hearts Testing, LLC and their employees, owners and representatives from any and all claims, demands, actions and causes of action, which may result from participation in this testing.
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