Warren County

COVID-19 Patient Testing

Consent Form

I authorize a nasal swab for COVID-19 Test. I further understand, agree, certify, and authorize the following:

• The patient for whom the appointment is being made is a resident of Warren County, NJ.
• I am the parent or legal guardian (if the patient is a minor or dependent) of the patient named above
• I authorize the County of Warren to collect my or my child/dependent's specimen. (nasal swab).
• The County of Warren has contracted with LabCorp Laboratories for laboratory analysis and report of my, my child's, or dependent's specimen. I authorize LabCorp Laboratories to perform testing on my specimen.
• I understand that processing of the specimen and results may take between 3 to 7 days.
• I understand that I will be receiving my test results from The Warren County Health Department and/or my physician.
• I authorize LabCorp Laboratories and/or St. Luke's Health System to release test results or other information necessary to the Warren County Health Department to process said release of test results.

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, LabCorp Laboratories and the St. Luke's Health System, including its employees, agents, and contractors from any and all liability and claims.