Anonymous STD Testing Consent Form

Consent

I voluntarily consent to anonymous STD testing at this facility. I understand the nature and purpose of the tests, as well as the potential risks and benefits. I have had the opportunity to ask questions and receive answers regarding the testing process, confidentiality, and my rights.

Personal Information

Test Information

Confidentiality and Results

I understand that my identity will not be connected to my test results. Results will be provided only to the bearer of the unique code or alias provided above.

Questions / Comments