HIV Testing Consent (only applies when ordering an HIV test):
I, the ordering client of Request A Test, have requested that a blood test for the Human Immunodeficiency Virus (HIV) be performed. The blood test (s) are used to detect HIV via antibody or viral DNA.
I have been informed that the tests can produce false positive and false negative results. Also, I have been informed that, if positive, the ICMA test will be repeated, and if still positive, a secondary level test (Western Blot) will then be performed. The combination of these two tests reduces the possibility of a false positive HIV antibody result.
I have been informed that the ICMA screening test fails to detect anti-HIV for a period of time immediately after infection with the virus. I have been offered re-testing if it is suspected that this has occurred. The ICMA screening test may fail to detect anti-HIV in rare cases.
I acknowledge that I have given my consent for the performance of an HIV blood test, and the release of the results as described in my order information
HIPAA (Health Insurance Portability and Accountability):
Request A Test will follow the guidelines set forth by HIPAA. This is an act that requires all medical records or other health identifying information to be kept confidential whether collected electronically or orally. If you have authorized the disclosure of your health information to someone who is not legally required to keep it confidential, it may no longer be protected by state and federal confidentiality laws.
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