TESTING CONTRAINDICATION NOTICE
FORM 1 - Fill in all personal information
FORM 2 - Fill in all personal Information- SIGN BEFORE A NOTARY
Make Copies - Provide Copies to school Job or any other institution
Election for saliva based test no swabbing with full RESERVATION OF RIGHT and primary ownership to all tissues provided
NOTICE ON CARCINOGEN & TOXINS
Ethylene Oxide or any other publicly listed carcinogen or toxin
A) U.S. Environmental Protection Agency – Evaluation of the Inhalation Carcinogenicity of Ethylene Oxide (CASRN 75-21-8) In Support of Summary Information on the Integrated Risk Information System (IRIS). National Center for Environmental Assessment. Office of Research & Development. Washington D.C. EPA/635/R-16/350fa 2016
B) Agency for Toxic Substances and Disease Registry (ATSDR). Toxicological Profile for Ethylene Oxide – U.S. Public Health Service. U.S. Department of Health & Human Services, Atlanta GA 1990
C) NIH National Cancer Institute – Ethylene Oxide Cancer Causing agent - https://www.cancer.gov/about-cancer/causes-prevention/risk/substances/ethylene-oxide