Rapid STD Testing Consent Form

I understand that a rapid STD (Sexually Transmitted Disease) test will be performed. The purpose, procedure, and possible benefits and risks have been explained to me. I authorize the collection and testing of my specimen(s) for the requested STD(s).

Personal Information

Full Name Date of Birth Phone Number Address

Consent

I have had an opportunity to ask questions, and my questions have been answered to my satisfaction. I understand that I may withdraw my consent at any time before testing. I understand the confidentiality of my test results will be maintained as required by law.

Additional Information or Comments