Consent for treatment/payment:
This is to certify that I consent to and authorize the performance of specimen collection and analysis of the chosen laboratory panels.
TruChoice Diagnostics, LLC cannot perform laboratory testing for patients who do not have a Primary Care Physician; A Primary Care Physician must be provided upon registration in the event that the Attending Provider who your labs are ordered under needs to reach them in regards to any critical results. I understand that the Attending Provider will not follow up with me or my Primary Care Physician regarding my lab results unless there is a critical value and it is my responsibility to obtain my results and seek interpretation, counsel, or treatment.
I agree to take full financial responsibility for the cost of the tests that I request and that payment/insurance must be rendered prior to specimen collection.