Patient attestation:
By signing below, I understand that this test will be administered by Bluewater Dx, the uploaded doctor's order is valid and deemed medically necessary by an authorized healthcare professional, and is assigned to me as the patient. I am willing to provide valid health insurance during patient registration to have said insurance billed for this test. I also understand that if any of the information provided is invalid or otherwise unauthorized, I, the patient, am personally responsible for the cost of this test.