I voluntarily consent to the collection and testing of my specimen, and all future testing, performed by TDS Labs LLC or its affiliated laboratories unless I give written notice that I have revoked my consent. I authorize my insurance company to pay and mail directly to TDS Labs LLC or its affiliated laboratories all medical benefits for payment of services rendered. I also authorize TDS Labs LLC or its affiliated laboratories to endorse any checks received on my behalf for payment of services provided. I understand that if my insurance company pays me directly for services rendered, I am responsible for forwarding such payment to TDS Labs LLC. I hereby irrevocably assign to TDS Labs LLC or its affiliated laboratories all benefits under any policy of insurance, indemnity agreement, or any collateral source as defined by statute for services provided. This assignment includes all rights to collect benefits directly from my insurance company and all rights to proceed against my insurance company in any action, including legal suit, if for any reason my insurance company fails to make payment of benefits due. This assignment also includes all rights to recover attorney’s fees and costs for such action brought by the provider as my assignee.