DISCLAIMER: In consideration for receiving the opportunity to participate in COVID-19 testing (hereinafter "Testing"), which is provided by Lab Elite LLC. (the 'Company"), I hereby release, waive, discharge, covenant not to sue, and agree to hold harmless for any and all purposes Company and their healthcare staff, members, shareholders,officers, servants, agents, volunteers, or employees (herein referred to as “indemnities”) from any and all liabilities, claims, demands, injuries (including death), or damages, including court costs and attorney's fees and expenses, that may be sustained by me while participating in Testing, while traveling to and from the Testing, or while on the premises owned or leased by Indemnities.
I am fully aware that the Testing provided by Company may involve COVID-19 tests that have not gone through a full FDA approval process and instead obtained emergency use authorization (EUA) or registered and are pending such processing and that the results could produce false positives or false negatives, or be administered in a way that otherwise produces inaccurate results. I am also fully aware that the Company is not providing medical care or giving a medical diagnosis with Testing and that I should consult my doctor or go to an emergency room if I have a serious symptom and/or to obtain medical advice from my own doctor as to the results of the Testing.
I hereby waive my rights regarding protected health information under HIPAA, to the extent necessary to complete the Testing and to allow Company to provide the results (whether positive or negative) of Testing to (1) the organization which has arranged for the testing, and (2) local and state public health authorities (which may result in further direct communication from those entities to me for further follow-up and contact tracing). Protected health information will not be reused or disclosed by Company to any person or entity other than above, except as required by law.
BySigningbelow, Iamagreeingtovoluntarilytestin g.Insigningthisagreement, IacknowledgeandrepresentthatIh avereadit.understand,andsignit voluntarily.