• Cholesterol Screening Consent Form

    For most accurate results, please fast for 8 to 12 hours prior to screening or as recommended by your primary care provider. Water is acceptable. Please stay hydrated.
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  • Consent

    I have had the opportunity to ask questions about this test. I believe the benefits outweigh the risks and I voluntarily assume full responsibility for any reactions that may result from either my receipt of this screening or the receipt of the screening by the person named above for whom I am the legal guardian ("Ward"). Please sign below to indicate consent to screening.
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  • Please show up to appointments on time.

    No refunds will be given for missed appointments.

    Fees are non-refundable and non-transferable. 

    Give us a call at 367.2278 with any questions.

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