CONSENT FORM for TESTING

You are providing a biological sample for the purpose of BioGeographical Ancestry (BGA) or other DNA analysis by DNAPrint® Genomics, Inc. You will have to sign a consent form at the time you send in your swabs to be tested. Because you requested DNAPrint® Genomics Inc researchers to conduct a BGA analysis or other analysis from your DNA, there are several things you should know about this test before you consent:

Your BGA results will be your property. What you do with them is up to you. The results are being provided to for your enjoyment, and may or may not fulfill the requirements for legal admissibility. If you have questions about the admissibility of this analysis for a specific purpose, we advise you to consult with your counsel prior to ordering the test.

The test results will be returned to you by U.S. standard mail. Your information will be kept confidential, simi liar to medical records, however they may be subpoenaed by court order, which DNAPrint® shall be required by law to turn over the results of the tests to the proper authorities. You are also aware that although expert testimony regarding these results will be available through DNAPrint®, there is none provided with this test and will only be available by separate agreement. (Please inquire)

This test is not for any medical purpose whatsoever. If you are concerned about a potential genetic malady, you and your doctor might choose to test specifically for it; this would require additional blood or tissue samples and testing. You should discuss this option with your doctor or genetic counselor. If you want to be tested, your doctor can refer you for the appropriate genetic counseling and testing.

The risks associated with submitting DNA for this test are minimal. If you collect the sample incorrectly, discomfort and temporary bruising at the collection site is possible but no customers have experienced this to date. If you do not follow collection instructions properly, you could experience other risks such as possible infection, puncture, bleeding or swelling of surrounding tissue at the collection site.

The cheek swab collection kit you have ordered contains all the necessary instructions for collecting your DNA. Therefore, DNAPrint Genomics, Inc. cannot be held liable for consequences arising from the improper collection of your DNA.

These are the best-known risks and challenges of genetic research. There might be other risks such as social or psychological that are not yet know. Some people may be surprised by their results, and the results may leave a lasting impression on how they view themselves, or perhaps how others view them.  If you are concerned about this possibility, we strongly recommend you consult appropriate professionals before ordering the test.

I understand that the ancestry tests provide statistical estimates. I understand that the AncestryByDNA™ and EuroDNA™ test is not a black/white litmus test, that my answer will be a range of likely percentages, and that the most likely of all of these will be presented to me as the Most Likely Estimate, and that in this regard, my answer will be much like a hurricane track projection used by meteorologists (which is compiled from multiple statistical estimates). I understand that while obtaining a single best answer from a statistical test is possible, the prudent customer will consider their answer to be a range of likely percentages, and to consider their Most Likely Estimate to simply be those of this range that is the best estimate.