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X or Y Early Gender Test - DNA Test Consent And Waiver For Males Present During Sample Collection


X or Y Early Gender Test – Males Present Information

To be eligible to take the normal X or Y Early Gender Test, a participant needs to be pregnant at least 9 weeks pregnant (9 weeks from the first day of the last menstrual period), as well as collect the blood sample in a clean, male free environment. However, you have indicated that you would like to proceed with testing despite being taken in the presence of a male.

Waiver:

By signing below, I, , consent to X or Y Early Gender testing for the blood sample, despite having collected my blood sample with a male in the same room. I confirm that results are not guaranteed to the advertised 98% accuracy, and hereby waive my consumer right to this accuracy, as well as the right to a refund under any circumstances after the test is processed.

I confirm that the sample submitted to ABC Gene Tests, Inc. for case number is my own blood sample. I confirm that I have not had a pregnancy end within the last 3 months, I have not had a blood transfusion in the last 18 months and I have never had an organ or bone marrow transplant. I have followed all collection instructions (including but not limited to ensuring a clean environment during sample collection, except for males present in the same room in which the blood sample collection occurred).

I understand that all materials and products provided by ABC Gene Tests, Inc. are provided for informational purposes only and that I should consult with a physician or healthcare provider regarding any questions pertaining to fertility, pregnancy, breastfeeding, baby care, etc. I further recognize that this test is not intended to determine pregnancy status, and does not replace a woman’s need to visit a doctor during pregnancy, or to have an ultrasound or other pregnancy-related tests performed.

I understand that ABC Gene Tests, Inc. is not liable for any damages caused to me or anyone else as a result of using this product. Furthermore, I assure that I am not using X or Y Early Gender Test for reasons relating to gender selection or any other medically related purpose.

By making a purchase from ABC Gene Tests, Inc., I agree to release, indemnify, and hold harmless all of its officers and employees from all liabilities associated with the product or service purchased. I understand that ABC Gene Tests, Inc. are not liable for any actions that might be taken by myself or anyone else as a result of using this service.

First Day of Last Menstrual Period:   

Eligibility Date:   

Sample Date:   

Baby’s Due Date:   

Phone Number:   

Leave this empty:

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Document name: X or Y Early Gender Test - DNA Test Consent And Waiver For Males Present During Sample Collection
Unique Document ID: e0e1242aa8a75301a5977d745b9d9b8ee5eff47b
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April 7, 2018 4:10 PM PSTX or Y Early Gender Test - DNA Test Consent And Waiver For Males Present During Sample Collection Uploaded by ABC Gene Tests Inc. - contact@abcgenetests.com IP 37.58.58.230