Participant Information & AgreementDecember 3rd, 2014
FiledDecember 3rd, 2014We operate in remote locations where access to medical care can sometimes be difficult or delayed. Completing this questionnaire fully and accurately will give our staff an understanding of your abilities and possible limitations. This information will remain confidential, with the exception of any medical history or allergy information which may put the group or you at risk if it is not disclosed. We will release only the information required for this purpose. In the unlikely circumstance that other information may need to be released, we will do so only with your permission.