Warren County

COVID-19 Patient Testing

Consent Form

I authorize a nasopharyngeal swab for COVID-19 Test as ordered by my physician or authorized healthcare provider (or my child's or legal dependent's physician or authorized healthcare provider). I further understand, agree, certify, and authorize the following:

By selecting YES on the "I have read and agree to the Consent Form" field when making an on-line appointment, I acknowledge that I have read, understand, agree, certify, and/or authorize the information above and further agree to hold harmless the County of Warren, BioReference Laboratories and the St. Luke's Health System, including its employees, agents, and contractors from any and all liability and claims.