The following is only appropriate for the Legal Next of Kin of the Child who died (ie., parent or legal guardian)
I am the legal next of kin for the deceased child named below. I hereby give my permission for the SUDC Foundation staff to contact the medical examiner and/or coroner’s office on my behalf to obtain information related to, but not limited to: the status of the investigation, how notification of the final cause of death will be communicated to the family, procedures for requesting documents, what specimens are stored, release procedures, retention policies, genetic testing results, and autopsy report information.
I understand that the SUDC Foundation will seek this information to provide postmortem and forensic services for my family. I acknowledge that medical examiner and/or coroner offices may have varying policies and procedures, which makes this assistance necessary.
If I choose to pursue postmortem genetic testing services with the SUDC Foundation, I authorize the SUDC Foundation to assist in managing the transfer and shipment of biospecimens from my child's death investigation by the medical examiner’s/coroner’s office to GeneDx Laboratory.
In consideration of these services, I hereby release, discharge, and hold harmless the SUDC Foundation, its successors, servants, agents, employees, and any affiliated parties from any and all claims, liabilities, demands, or causes of action that may arise from or relate to their assistance, including, but not limited to, the contact with the medical examiner/coroner's office and the transfer and shipment of biospecimens.
I understand that the SUDC Foundation is not liable for any damages or outcomes resulting from this service or the actions of the medical examiner/coroner's office or the laboratory involved.
By signing below, I acknowledge that I have read, understood, and voluntarily agree to the terms of this Consent and Release of Liability.
