• Voluntarily consent to onboard with Infinite Allergy Labs for ordering Infinite testing.

• Confirm that all information provided is accurate and complete.

• Acknowledge my responsibility to comply with any applicable local, state, or federal laws governing the ordering of laboratory tests.

• Authorize Infinite Allergy Labs to accept my signature on file for the purpose of ordering laboratory tests for my patients.

• Affirm that each laboratory test ordered under this authorization is medically necessary and corresponds to the patient's diagnosis as submitted to the laboratory for testing.

• Agree to be financially responsible for all charges associated with this account if the clinic pay option is selected.

• Consent to being added to the Infinite Allergy Labs newsletter for email updates.

• Understand and agree that by typing my name in the signature section, it is legally binding and equivalent to a handwritten signature.

• If an insurance claim is denied due to incorrect or ineligible information, the account agrees to pay the directly for any outstanding charges.