Court-Ordered STD Testing Consent Form

Personal Information

Full Name

Date of Birth

Case Number

Phone Number

Address

I understand that I am required by court order to undergo testing for sexually transmitted diseases (STDs).

I consent to the release of my test results to the appropriate court and legal authorities as required by law.

Additional Information or Comments

By signing below, I acknowledge that I have read and understand this form, and that I consent to the STD testing as ordered by the court.

Signature

Date

Witness Name Witness Signature

Date