Format: +[Country Code] [Number]. Example: +254712345678. Only numerical digits allowed after the +.
If under 18, parent/guardian consent required
Required for patients under 18 years old
Please read the following terms carefully. You must scroll to the bottom of this document to unlock the signature fields.
By registering for the MyDNAid service, I voluntarily agree to the following terms regarding my biological sample and genomic data:
1. Clinical Reporting: I understand that I will receive a clinical report detailing my genetic insights, and my referring doctor (if applicable) will use this data for my diagnosis and treatment management.
2. Sample Storage (Biobanking) & Data Custody: I consent to the secure storage of my genomic data in the NextGen Molecular Lab encrypted vault. I understand that a secure storage fee of $50/year applies from Year 2 to maintain my MyDNAid digital access and card decryption services. I understand that any future use of my physical sample will be strictly limited to research approved by a recognized Ethics Review Committee (ERC).
3. Data De-identification & AI Research: I understand that before my Whole Genome Sequence data is used for AI model training or scientific research, all direct personal identifiers will be permanently removed. I consent that my de-identified genomic data may be used for scientific research, including studies on African genomics and pharmacogenomics, and may be published in scientific journals.
4. Data Sovereignty & Privacy: I understand that NextGen Molecular Lab complies with the Kenya Data Protection Act (KDPA). My data will be handled with strict confidentiality, and no published research will ever reveal my identity. I understand my physical card holds my encrypted data, giving me ultimate custody.
5. Voluntary Participation: I understand that my participation is entirely voluntary. I can choose to withdraw my consent for future research at any time by contacting NML, without affecting my clinical care. (Note: Data already published or shared anonymously prior to withdrawal cannot be retrieved).
Please select ONE preference for the future management of my physical DNA sample:
Data Storage & Future Updates
AI & Scientific Research
Queries regarding data privacy or your rights under the Kenya Data Protection Act should be directed to our Data Protection Officer at dpo@nextgenmolecularlab.com.
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