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Get Hiv Consent Form Template

322-3506 or 512-322-3552 fax www.tdi.state.tx.us Insurer Address NOTICE AND CONSENT FOR HIV-RELATED TESTING To evaluate your insurability, the Insurer named above (the Insurer) has requested that you provide a sample of your blood, oral fluid extracted from cheek and gum tissue, or urine for testing and analysis to determine the presence of human immunodeficiency virus (.

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