Common use of Participant Consent Clause in Contracts

Participant Consent. I acknowledge that I have read the above agreement and understand its contents. I agree to be a voluntary participant in this heart screening and request technologists, technical assistants, cardiologists, and other health care providers to administer, interpret and communicate the results of my ECG screening and ECHO procedure. I understand that these procedures may involve the use of cardiac imaging technology and electrical detection technology. I understand that no warranty or guarantee has been made to me as to the results or accuracy of the ECG screening and ECHO procedure. I understand that this screening may not be sufficient for diagnosis purposes and that an additional procedure(s) might be required in the event of an abnormal finding on the ECG screening and/or ECHO procedure. I also understand that upon further evaluation a suspected abnormal finding on the initial screening may or may not confirm that there is truly an abnormality present. I give permission to AugustHeart and medical personnel to release information obtained in connection with the screening to my school nurse/athletic staff and as otherwise set forth above. I understand that AugustHeart will not disclose my identity to any third party without my consent. I further agree to hold AugustHeart, all physicians, technicians, volunteers, and all other persons, entities, individuals and organizations harmless and waive all subrogation rights against AugustHeart and their physicians, officers and volunteers as respects process and results of this free heart screening.

Participant Consent. I acknowledge that I have read the above agreement and understand its contents. I agree to be a voluntary participant in this heart screening and request technologists, technical assistants, cardiologists, and other health care providers to administer, interpret and communicate the results of my ECG screening and ECHO procedure. I understand that these procedures may involve the use of cardiac imaging technology and electrical detection technology. I understand that no warranty or guarantee has been made to me as to the results or accuracy of the ECG screening and ECHO procedure. I understand that this screening may not be sufficient for diagnosis purposes and that an additional procedure(s) might be required in the event of an abnormal finding on the ECG screening and/or ECHO procedure. I also understand that upon further evaluation a suspected abnormal finding on the initial screening may or may not confirm that there is truly an abnormality present. I give permission to AugustHeart and medical personnel to release information obtained in connection with the screening to my school nurse/athletic staff and as otherwise set forth above. I understand that AugustHeart will not disclose my identity to any third party without my consent. I further agree to hold AugustHeart, all physicians, technicians, volunteers, and all other persons, entities, individuals and organizations harmless and waive all subrogation rights against AugustHeart and their physicians, officers and volunteers as respects process and results of this free heart screening.