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I am over the age of 18 and I am the person being tested.

I understand that I am not being tested for every possible sexually transmitted disease (STD) but only for the test I have elected to have run.

I understand that the state in which I am being tested may require by law that the lab performing the test and/or the ordering physician report certain positive results to my stateís Department of Public Health and that Advanced Testing Center and its ordering physicians will comply with all existing reporting laws.

I understand that I am choosing to partake in elective clinical laboratory testing. This testing is for screening purposes and there is no agreement by Advanced Testing Center or the ordering physician to provide medical treatment and/or follow up.

I understand that all services and materials provided by Advanced Testing Center are for informational use only and they are not a substitute to the diagnosis and treatment by a qualified physician for diseases possibly detected through these screening tests.

I understand that Advanced Testing Center and/or the ordering physician can deny my request for testing and if denied, I will be refunded the collected fees in full.

I release and will not hold Advanced Testing Center and/or the ordering physician responsible for any injury or personal damage that could occur while on the testing centerís premises.

I understand that no testing is 100% accurate there is the possibility of false positive and false negative results.  Performance characteristics of tests are based on sensitivity and specificity which can be relayed by our counselors.

I understand that tests may be lost or unable to be processed and could require recollection of specimen or retesting.


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