SAME DAY COVID-19 PCR TEST 
PATIENT AUTHORIZATION**** READ
I certify that I have voluntarily provided a specimen for analytical testing. The information provided on this form and the label affixed to the specimen tubes is accurate. 
I authorize Vitro Molecular Laboratories, LLC to release the results of this testing to the treating physician or facility. 
I consent to allow Vitro Molecular Laboratories, LLC to use my specimen and any testing performed on that specimen, for research, development, licensing, accreditation, and potential publication purposes, so long as the information has been properly de-identified pursuant to law.
I have read or had read to me the patient consent and by clicking ADD TO CART I acknowledge that I understand the information and consent to have testing.