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We use email and/or phone number to send confirmation and results. You can continue without an email and a phone by selecting 'No email' and 'No phone'.

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Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Notice of Informed Consent

Welcome to the IBEW 617-NECA Wellness Screening Program conducted by BaySport. The purpose of this program is to provide you with a better understanding of your health and risks for cardiovascular and related diseases. Your participation in this program is voluntary. A sample of blood will be drawn from your finger and analyzed. Results from fingerstick tests, blood pressure, height, weight, BMI and body measurements, will be available to you at the screening in approximately 15-25 minutes. A BaySport health professional will discuss the results with you. We encourage you to share your results with your personal physician.

I understand that BaySport staff will have access to my test results for ascertaining if the results are within normal ranges. Group statistics may be used by BaySport and shared with IBEW 617-NECA representatives for report and research purposes. Personal health information and test results may be shared between BaySport staff solely for the purpose of additional and specific follow-up, results counseling services and targeted educational outreach. No other individual or entity will have access to your individual test results without express written permission from you or via court order. The responsibility for initiating any medical examination for possible abnormalities identified by this Wellness Screening program is yours. Neither BaySport, IBEW 617-NECA nor its contractors has any such responsibility.

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