Lung Cancer Risk Assessment

PLEASE READ THIS RELEASE FORM BEFORE SUBMITTING QUIZ:
By clicking submit you are agreeing to: I hereby release Tri-City Medical Center employees and any other individuals associated with the risk assessment or from any information provided at this Web site, from any and all liability which may arise. I understand: 1. This website and tool are for educational purposes only and do not constitute medical advice. 2. I am responsible for my own health and it is my sole responsibility to follow through on any and all identified risk factors by obtaining appropriate medical attention and advice. 3. The data derived from the risk assessment is to be considered as preliminary only, and in no way conclusive. 4. The responsibility for any follow-up examination lies with me and not with any participating organization, employee, volunteer or individuals. 5. I have authority and consent to the release of this information in the event it may constitute protected health information. 6. If you do not have a primary health provider, Tri-City Medical Center can provide you with a list of available physicians in your area.