Venipuncture and Injection Participant Release and Indemnification Agreement

Form Template

As with any medical procedure, when a subject of medical testing, study or clinical trial has blood drawn by a finger stick or by venipuncture, there is always a risk of complications or exposure to a disease such as HIV, Hepatitis C virus, Hepatitis B virus or other diseases.

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Doctors, phlebotomists, and every program participant should be aware of the importance of informed consent and be aware of any risk associated with the procedure or program. The Venipuncture and Injection Participant Release and Indemnification Agreement app should be completed by the patient or trial subject prior to starting of the program or first blood draw. It will indemnify researchers from any risk associated with the trail or study to the patient, and relieve them of any liability.

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