The consent document for obtaining genetic information of a person must be in substantially the following form:
CONSENT FOR OBTAINING, RETAINING OR
DISCLOSING GENETIC INFORMATION
As used in this document, "genetic information" means any information that is obtained from a genetic test.
I, ........ (name of person giving consent), hereby give my consent to ........ (name of person or agency obtaining genetic information) to obtain my genetic information; or
I, ........ (name of person giving consent), hereby give my consent to ........ (name of person or agency retaining genetic information) to retain my genetic information; or
I, ........ (name of person giving consent), hereby give my consent to ........ (name of person or agency disclosing genetic information) to disclose my genetic information to ........ (name and address of person or agency to receive genetic information).
This consent document is valid until ..... (date of expiration).
If the person tested is unable to sign, please indicate the reason here: .............................
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............................................................... ...............................................................
Signature of consenting person Witness
or his or her legal representative
............................................................... ...............................................................
Date Date
Nev. Admin. Code § 629.110
NRS 629.181