Blood Tests and Samples. I authorize Certified Dermatologists to order blood samples for testing of communicable or sexually transmitted diseases including, but not limited to HIV and Hepatitis, if a physician orders the test for diagnostic purposes for me or the patient named below or in the event a health care worker has been exposed to my blood or bodily fluids or the blood or bodily fluids of the patient named below. I authorize Certified Dermatologists and my, or the below named patient’s, physician, dentist, surgeon, or podiatrist to have the results of these tests. Except when an HIV test is performed in a medical emergency and the test results are medically necessary to avoid or minimize an immediate danger to me, or the patient named below, or others, I understand that in Ohio, I, or the patient named below, have the right to an anonymous HIV test.
Blood Tests and Samples. I authorize Cerﳳfied Dermatologists to order blood samples for tesﳳng of communicable or sexually transmiﹷed diseases including, but not limited to HIV and Hepaﳳﳳs, if a physician orders the test for diagnosﳳc purposes for me or the paﳳent named below or in the event a health care worker has been exposed to my blood or bodily fluids or the blood or bodily fluids of the paﳳent named below. I authorize Cerﳳfied Dermatologists and my, or the below named paﳳent’s, physician, denﳳst, surgeon, or podiatrist to have the results of these tests. Except when an HIV test is performed in a medical emergency and the test results are medically necessary to avoid or minimize an immediate danger to me, or the paﳳent named below, or others, I understand that in Ohio, I, or the paﳳent named below, have the right to an anonymous HIV test.
Blood Tests and Samples. I authorize UC Health to obtain blood samples for testing of communicable or sexually transmitted diseases including, but not limited to HIV and hepatitis, if a physician orders the test for diagnostic purposes for me or the patient named below or in the event a healthcare worker has been exposed to my blood or bodily fluids, or the blood or bodily fluids of the patient named below. I authorize UC Health and my physician, or the below named patient’s physician, dentist, surgeon or podiatrist, to have the results of these tests. Except when an HIV test is performed in a medical emergency and the test results are medically necessary to avoid or minimize an immediate danger to me, or the patient named below, or others, I understand that in Ohio, I, or the patient named below,have the right to an anonymous HIV test.
