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My signature below certifies that (1) I am the patient's treating physician and am authorized under applicable law to order the tests on this test requisition, (2) each test ordered on this test requisition is medically necessary for the patient, (3) the patient has decided to seek further cancer treatment, (4) the results of each test will inform the patient's ongoing treatment plan, (5) I have explained to the patient the nature and purpose of each test to be根据此测试申请进行执行，患者有机会就每个测试以及对他/她的样本和数据的收集，使用和披露提出问题，（6）我已从患者那里获得了知情同意，以进行每项测试，包括对他/她/她/她的样品和数据的收集，使用和披露。我了解，Circulogene Theranostics，Inc。可以联系我要求签署的同意书的副本，在这种情况下，我将提供Circulogene Theranostics，Inc。同意书的签名副本。
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