Consent to Test: I authorize Streamlabs to use my information included in this waiver solely for insurance billing purposes and for reporting test results to local health authorities. By signing this waiver, I understand that if I choose to forego entering my insurance information, I will need to provide my government-issued ID number. My information will only be shared with local health authorities and Streamlabs' billing team.

I hereby acknowledge that all information I have entered is true, accurate and best of my knowledge. Testing Company is not liable for any errors or omissions.