Common use of No Requirement to Refer Clause in Contracts

No Requirement to Refer. Nothing in this Agreement requires or obligates School to admit or cause the admittance of a patient to Hospital or to use Hospital’s services. None of the benefits granted pursuant to this Agreement is conditioned on any requirement or expectation that the parties make referrals to, be in a position to make or influence referrals to, or otherwise generate business for the other party. Neither party is restricted from referring any services to, or otherwise generating any business for, any other entity of their choosing. THE PARTIES HERETO have executed this Agreement as of the day and year first above written. [Hospital] By: Xxxxxx Xxxxx Title: President/CEO Date The School Board of Sarasota County, Florida, Through its Sarasota County Technical Institute By: Xxxxxxxx X. Xxxxxx, Title: Chair Date: Approved for Legal Content January 26, 2012, by Matthews, Eastmoore, Hardy, Crauwels & Xxxxxx, Attorneys for The School Board of Sarasota County, Florida Signed: ASH_ For and in consideration of the benefit provided the undersigned in the form of experience in a clinical setting at ("Hospital"), the undersigned and his/her heirs, successors and/or assigns do hereby covenant and agree to assume all risks and be solely responsible for any injury or loss sustained by the undersigned while participating in the Program operated by Signature of Program Participant/Print Name Date Parent or Legal Guardian if Program Participant is under 18/Print Name Date  Protected Health Information (PHI) includes patient information based on examination, test results, diagnoses, response to treatment, observation, or conversation with the patient. This information is protected and the patient has a right to the confidentiality of his or her patient care information whether this information is in written, electronic, or verbal format. PHI is individually-identifiable information that includes, but is not limited to, patient’s name, account number, birthdate, admission and discharge dates, photographs, and health plan beneficiary number.  Medical records, case histories, medical reports, images, raw test results, and medical dictations from healthcare facilities are used for student learning activities. Although patient identification is removed, all healthcare information must be protected and treated as confidential.  Students enrolled in school programs or courses and responsible faculty are given access to patient information. Students are exposed to PHI during their clinical rotations in healthcare facilities.  Students and responsible faculty may be issued computer identifications (IDs) and passwords to access PHI.

No Requirement to Refer. Nothing in this Agreement requires or obligates School district to admit or cause the admittance of a patient to Hospital or to use Hospital’s services. None of the benefits granted pursuant to this Agreement is conditioned on any requirement or expectation that the parties make referrals to, be in a position to make or influence referrals to, or otherwise generate business for the other party. Neither party is restricted from referring any services to, or otherwise generating any business for, any other entity of their choosing. THE PARTIES HERETO have executed this Agreement as of the day and year first above written. [Hospital] Title: Chairman School Board Title: Superintendent of Schools Orange Park Medical Center By: Xxxxxx Xxxxx Xxxxxxx Xxxx Title: President/CEO Date The School Board of Sarasota County, Florida, Through its Sarasota County Technical Institute By: Xxxxxxxx X. Xxxxxx, Title: Chair Date: Approved for Legal Content January 26, 2012, by Matthews, Eastmoore, Hardy, Crauwels & Xxxxxx, Attorneys for The School Board of Sarasota County, Florida Signed: ASH_ For and in consideration of the benefit provided the undersigned in the form of experience in a clinical setting at Orange Park Medical Center ("Hospital"), the undersigned and his/her heirs, successors and/or assigns do hereby covenant and agree to assume all risks and be solely responsible for any injury or loss sustained by the undersigned while participating in the Program operated by (School District of Clay County) at Hospital unless such injury or loss arises solely out of Hospital's gross negligence or willful misconduct. Signature of Program Participant/Print Name Date Parent or Legal Guardian if Program Participant is under 18/Print Name Date  • Protected Health Information (PHI) includes patient information based on examination, test results, diagnoses, response to treatment, observation, or conversation with the patient. This information is protected and the patient has a right to the confidentiality of his or her patient care information whether this information is in written, electronic, or verbal format. PHI is individually-identifiable information that includes, but is not limited to, patient’s name, account number, birthdate, admission and discharge dates, photographs, and health plan beneficiary number.  • Medical records, case histories, medical reports, images, raw test results, and medical dictations from healthcare facilities are used for student learning activities. Although patient identification is removed, all healthcare information must be protected and treated as confidential.  • Students enrolled in school programs or courses and responsible faculty are given access to patient information. Students are exposed to PHI during their clinical rotations in healthcare facilities.  • Students and responsible faculty may be issued computer identifications (IDs) and passwords to access PHI.

No Requirement to Refer. Nothing in this Agreement requires or obligates School to admit or cause the admittance of a patient to Hospital or to use Hospital’s services. None of the benefits granted pursuant to this Agreement is conditioned on any requirement or expectation that the parties make referrals to, be in a position to make or influence referrals to, or otherwise generate business for the other party. Neither party is restricted from referring any services to, or otherwise generating any business for, any other entity of their choosing. THE PARTIES HERETO have executed this Agreement as of the day and year first above written. [Hospital] By: Xxxxxx Xxxxx Title: President/CEO Date The School Board of Sarasota County, Florida, Through through its Sarasota County Technical Institute By: Xxxxxxxx X. Xxxxxx, Xxxx Xxxxxxx Title: Chair Date: Approved for Legal Content January 26Content, 2012December 10, 2013 by Matthews, Xxxxxxxx Eastmoore, Hardy, Crauwels & Xxxxxx, Attorneys for The School Board of Sarasota County, Florida Signed: ASH_ ASH Doctors Hospital of Sarasota [Hospital] By: Xxxxxx X. Xxxxx Title: President/CEO For and in consideration of the benefit provided the undersigned in the form of experience in a clinical setting at ("Hospital"), the undersigned and his/her heirs, successors and/or assigns do hereby covenant and agree to assume all risks and be solely responsible for any injury or loss sustained by the undersigned while participating in the Program operated by ("School") at Hospital unless such injury or loss arises solely out of Hospital's gross negligence or willful misconduct. Signature of Program Participant/Print Name Date Parent or Legal Guardian if Program Participant is under 18/Print Name Date  Protected Health Information I understand that the facility or business entity (PHIthe “Company”) includes patient for which I work, volunteer or provide services manages health information based on examinationas part of its mission to treat patients. Further, test results, diagnoses, response to treatment, observation, or conversation with I understand that the patient. This information is protected and the patient Company has a right legal and ethical responsibility to safeguard the privacy of all patients and to protect the confidentiality of his their patients’ health information. Additionally, the Company must assure the confidentiality of its human resources, payroll, fiscal, research, internal reporting, strategic planning information, or her any information that contains Social Security numbers, health insurance claim numbers, passwords, PINs, encryption keys, credit card or other financial account numbers (collectively, with patient care information whether identifiable health information, “Confidential Information”). In the course of my employment/assignment at the Company, I understand that I may come into the possession of this type of Confidential Information. I will access and use this information only when it is necessary to perform my job related duties in writtenaccordance with the Company’s Privacy and Security Policies, which are available on the Company intranet (on the Security Page) and the Internet (under Ethics & Compliance). I further understand that I must sign and comply with this Agreement in order to obtain authorization for access to Confidential Information or Company systems. General Rules 1. I will act in the best interest of the Company and in accordance with its Code of Conduct at all times during my relationship with the Company. 2. I understand that I should have no expectation of privacy when using Company information systems. The Company may log, access, review, and otherwise utilize information stored on or passing through its systems, including email, in order to manage systems and enforce security. 3. I understand that violation of this Agreement may result in disciplinary action, up to and including termination of employment, suspension, and loss of privileges, and/or termination of authorization to work within the Company, in accordance with the Company’s policies. Protecting Confidential Information 1. I understand that any Confidential Information, regardless of medium (paper, verbal, electronic, image or verbal format. PHI is individually-identifiable information that includesany other), but is not limited toto be disclosed or discussed with anyone outside those supervising, patient’s name, account number, birthdate, admission and discharge dates, photographs, and health plan beneficiary number.  Medical records, case histories, medical reports, images, raw test results, and medical dictations from healthcare facilities are used for student sponsoring or directly related to the learning activities. Although patient identification is removed, all healthcare information must be protected and treated as confidential.  Students enrolled in school programs or courses and responsible faculty are given access to patient information. Students are exposed to PHI during their clinical rotations in healthcare facilities.  Students and responsible faculty may be issued computer identifications (IDs) and passwords to access PHIactivity.

No Requirement to Refer. Nothing in this Agreement requires or obligates School to admit or cause the admittance of a patient to Hospital or to use Hospital’s services. None of the benefits granted pursuant to this Agreement is conditioned on any requirement or expectation that the parties make referrals to, be in a position to make or influence referrals to, or otherwise generate business for the other party. Neither party is restricted from referring any services to, or otherwise generating any business for, any other entity of their choosing. THE PARTIES HERETO have executed this Agreement as of the day and year first above written. [Hospital] By: Xxxxxx Xxxxx Title: President/CEO Date The School Board of Sarasota County, Florida, Through its Sarasota County Technical Institute By: Xxxxxxxx X. Xxxxxx, Title: Chair Date: Approved for Legal Content January 26October 14, 20122009, by Matthews, Eastmoore, Hardy, Crauwels & Xxxxxx, Attorneys for The School Board of Sarasota County, Florida Signed: ASH_ By: Title: For and in consideration of the benefit provided the undersigned in the form of experience in a clinical setting at ("Hospital"), the undersigned and his/her heirs, successors and/or assigns do hereby covenant and agree to assume all risks and be solely responsible for any injury or loss sustained by the undersigned while participating in the Program operated by Signature of Program Participant/Print Name Date Parent or Legal Guardian if Program Participant is under 18/Print Name Date  Protected Health Information (PHI) includes patient information based on examination, test results, diagnoses, response to treatment, observation, or conversation with the patient. This information is protected and the patient has a right to the confidentiality of his or her patient care information whether this information is in written, electronic, or verbal format. PHI is individually-identifiable information that includes, but is not limited to, patient’s name, account number, birthdate, admission and discharge dates, photographs, and health plan beneficiary number.  Medical records, case histories, medical reports, images, raw test results, and medical dictations from healthcare facilities are used for student learning activities. Although patient identification is removed, all healthcare information must be protected and treated as confidential.  Students enrolled in school programs or courses and responsible faculty are given access to patient information. Students are exposed to PHI during their clinical rotations in healthcare facilities.  Students and responsible faculty may be issued computer identifications (IDs) and passwords to access PHI.

No Requirement to Refer. Nothing in this Agreement requires or obligates School to admit or cause the admittance of a patient to Hospital or to use Hospital’s services. None of the benefits granted pursuant to this Agreement is conditioned on any requirement or expectation that the parties make referrals to, be in a position to make or influence referrals to, or otherwise generate business for the other party. Neither party is restricted from referring any services to, or otherwise generating any business for, any other entity of their choosing. THE PARTIES HERETO have executed this Agreement as of the day and year first above written. [Hospital] By: Xxxxxx Xxxxx Title: President/CEO Date The School Board of Sarasota County, Florida, Through its Sarasota County Technical Institute By: Xxxxxxxx X. Xxxxxx, Title: Chair Date: Approved for Legal Content January 26Content, 2012February 25, 2015, by Matthews, Eastmoore, Hardy, Crauwels & XxxxxxXxxxxxxx Xxxxxxxxx, Attorneys for The School Board of Sarasota County, Florida Signed: ASH_ [Hospital] By: For and in consideration of the benefit provided the undersigned in the form of experience in a clinical setting at Englewood Community Hospital ("Hospital"), the undersigned and his/her heirs, successors and/or assigns do hereby covenant and agree to assume all risks and be solely responsible for any injury or loss sustained by the undersigned while participating in the Program operated by The School Board of Sarasota County, Florida ("School") at Hospital unless such injury or loss arises solely out of Hospital's gross negligence or willful misconduct. Signature of Program Participant/Print Name Date Parent or Legal Guardian if Program Participant is under 18/Print Name Date  Protected Health Information I understand that the facility or business entity (PHIthe “Company”) includes patient for which I work, volunteer or provide services manages health information based on examinationas part of its mission to treat patients. Further, test results, diagnoses, response to treatment, observation, or conversation with I understand that the patient. This information is protected and the patient Company has a right legal and ethical responsibility to safeguard the privacy of all patients and to protect the confidentiality of his their patients’ health information. Additionally, the Company must assure the confidentiality of its human resources, payroll, fiscal, research, internal reporting, strategic planning information, or her any information that contains Social Security numbers, health insurance claim numbers, passwords, PINs, encryption keys, credit card or other financial account numbers (collectively, with patient care information whether identifiable health information, “Confidential Information”). In the course of my employment/assignment at the Company, I understand that I may come into the possession of this type of Confidential Information. I will access and use this information only when it is necessary to perform my job related duties in writtenaccordance with the Company’s Privacy and Security Policies, which are available on the Company intranet (on the Security Page) and the Internet (under Ethics & Compliance). I further understand that I must sign and comply with this Agreement in order to obtain authorization for access to Confidential Information or Company systems. General Rules 1. I will act in the best interest of the Company and in accordance with its Code of Conduct at all times during my relationship with the Company. 2. I understand that I should have no expectation of privacy when using Company information systems. The Company may log, access, review, and otherwise utilize information stored on or passing through its systems, including email, in order to manage systems and enforce security. 3. I understand that violation of this Agreement may result in disciplinary action, up to and including termination of employment, suspension, and loss of privileges, and/or termination of authorization to work within the Company, in accordance with the Company’s policies. Protecting Confidential Information 1. I understand that any Confidential Information, regardless of medium (paper, verbal, electronic, image or verbal format. PHI is individually-identifiable information that includesany other), but is not limited toto be disclosed or discussed with anyone outside those supervising, patient’s name, account number, birthdate, admission and discharge dates, photographs, and health plan beneficiary number.  Medical records, case histories, medical reports, images, raw test results, and medical dictations from healthcare facilities are used for student sponsoring or directly related to the learning activities. Although patient identification is removed, all healthcare information must be protected and treated as confidential.  Students enrolled in school programs or courses and responsible faculty are given access to patient information. Students are exposed to PHI during their clinical rotations in healthcare facilities.  Students and responsible faculty may be issued computer identifications (IDs) and passwords to access PHIactivity.