OTS Mentor Project Disclaimer Form

I understand and hereby consent to, my information, including but not limited to my personal health information, contained in this application to be shared by Organ Transplant Support, Inc (OTS) to help match me with a mentor/mentee. OTS does not and will not share this information with any third-party organizations or individuals.

I also understand that OTS has developed the Mentor Project for educational purposes only. I also understand that any views expressed by mentees or mentors are not necessarily those of OTS; are not intended to represent the only, or necessarily the best, method or procedure appropriate for the medical situations discussed; and are not intended to replace and do not replace, the considered judgment of a treating physician with respect to his or her patients. I am aware that a mentee’s interest in a product or service may influence his or her perspective.

As a condition of my voluntary participation in the Project, I agree to waive any claim I may have against OTS, its Board of Directors, staff, and members, as well as any claim I may have against my assigned mentee or other OTS mentors for reliance on information provided to me in connection with the Project. I hereby release each of them from and against any and all liability for any claim, injury, or other damages that may arise out of the use or operation of any ideas, instructions, procedures, products, services, or methods that my mentor and I may discuss. I am over 18 years of age. I have read and understand the above Confidentiality Statement.

I agree to be contacted at the number provided. I understand these calls or texts may use computer-assisted dialing or pre-recorded messages.