Accept Terms & Conditions
This Informed Consent Form is required by GDPR for the processing of your biosamples and the
storage of the derived biodata (such as DNA, RNA, Microbiome datasets) by our Laboratory
LAB NAME. Please read the following information carefully and provide your consent by
checking the relevant boxes and submitting the form.
What is DNA?
DNA contains genetic information that acts as a blueprint for how parts of your body are made
and work, determining
such things as eye and hair color. DNA is made up of long strands of repeating letters that
form a code. These
letters, A, C, T and G represent individual chemical units that form DNA. The order in which
these letters are
written is very precise. In the same way that a spelling mistake in a word could change its
meaning entirely (for
example, mean and meat), a single change in the sequence of DNA can lead to a change in how
the body works, which
may lead to disease or influence how you respond to medication.
What is genetic testing?
Genetic testing involves taking your DNA sample and determining the sequence of your genetic
code. Changes in your
genetic code may help your healthcare team choose the best course of treatment for you.
Consent for Biosample Processing and Biodata Storage:
I hereby give my informed consent to the LAB NAME for processing my biosamples and storing my
derived biodata (such as DNA, RNA, Microbiome datasets). I understand that the laboratory will
store my biosample and biodata until the corresponding BioNFT by GenoBank.io is properly
revoked using my corresponding BioWallet.
Risks:
I understand that there are potential risks associated with the processing and storage of my
biosamples and biodata. These risks may include, but are not limited to, the unintentional
disclosure of personal genetic information, potential emotional distress due to learning about
genetic predispositions, and potential misuse of genetic data by unauthorized third parties.
I acknowledge that I have read and understood these risks, and I accept them as part of my
participation.
Consent for Data Protection and Privacy:
I have read and understood the LAB NAME’s data protection and privacy policy. I give my consent
for the LAB NAME to process my biosample and store my derived biodata until I revoke the corresponding
BioNFT using my GenoBank.io’s BioWallet in accordance with the GDPR and other relevant data protection
regulations.