I hereby CONSENT to allow FLCES, its staff, and my healthcare provider(s) to take a specimen of my hair, urine, or blood and subject it to random or reasonable suspicion drug test screen. I FURTHER CONSENT to allow the testing results of such screen(s) to be made available to the respective referral source (i.e., court, probation officer, etc.) I understand that I may be required similarly to provide a urine sample under direct observation, especially, but not solely, if so ordered by a court orentity.
In consideration for such services being rendered on my behalf, I hereby RELEASE all FLCES staff, Gauler and Associates, LLC, laboratory testing service, its officers, agents, and employees, from any and all claims which I might otherwise have due to such results being made so available. I hereby CONSENT NOT TO FILE ANY ACTION at law or in equity against FLCES or Gauler and Associates, LLC, the laboratory testing service, their respective officers, agents, or employees in connection with the results of such screen being made so available, and I hereby agree to INDEMNIFY and HOLD HARMLESS FLCES or Gauler and Associates, LLC, the laboratory testing service, their respective officers, agents, and employees from all damages, expenses, reasonable attorney's fees, and costs of court which they or any of them may suffer or incur, jointly or severally, due to the results of such screen being made so available.