Free COVID-19 Test Registration - NCCUENG

Please complete the following to begin scheduling your COVID 19 testing.

For additional information and questions click here

arrow&v
arrow&v
Gender

Please carefully read before agreeing to the following Informed Consent: a) I authorize Aria Diagnostics LLC and any agent or referral laboratory to conduct collection and testing for COVID-19 through a nasopharyngeal swab or oral rinse; b) I authorize my test results to be disclosed to the county, state, or to any other governmental entity as may be required by law; c) I acknowledge that a positive test result is an indication that I must self-isolate and/or wear a mask or face covering as directed in an effort to avoid infecting others; d) I understand that Aria Diagnostic LLC is not acting as my medical provider, this testing does not replace treatment by my medical provider, and I assume complete and full responsibility to take appropriate action with regards to my test results. I agree I will seek medical advice, care and treatment from my medical provider if I have questions or concerns, or if my condition worsens; e) I understand that, as with any medical test, there is the potential for a false positive or false negative COVID-19 test result; f) To the fullest extent permitted by law, I hereby release, discharge and hold harmless, Aria Diagnostics LLC, including, without limitation, its respective officers, directors, employees, representatives and agents from any and all claims, liability, and damages, of whatever kind or nature, arising out of or in connection with any act or omission relating to my COVID-19 diagnostic test or the disclosure of my COVID-19 test results; g) I, the undersigned, have been informed about the test purpose, procedures, possible benefits and risks, and I have had the opportunity to print or receive a copy of this Informed Consent; h) I am over the age of 18 and the individual or legal guardian of the individual identified above, I have been given the opportunity to ask questions before I sign, I understand that I can ask additional questions at any time, and I voluntarily agree to this testing for COVID-19.

317-733-9454

5635 W. 96th St, Suite 300, Indianapolis, IN 46278

  • Facebook - White Circle
  • Instagram - White Circle
  • LinkedIn - White Circle

© 2020 by ARIA Diagnostics. All Rights Reserved. Notice of Privacy Practices