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delivery by certified mail 17. ENTIRE AGREEMENT. This Agreement and Exhibit "A" supersede all prior agreements and understandings, whether written or oral, between the Parties regarding the subject hereof and this Agreement and Exhibit o'A" constitute the entire understanding of the Parties regarding the subject hereof. This Agreement and Exhibit "A" may only be amended by a written agreement signed by both Parties. 18. NO THIRD PARTY RIGHTS. The Parties do not intend the benefits of this Agreement to inure to any third person not a signatory hereto. Nothing in this Agreement or the course of conduct by a Party shall be construed as creating any right, claim or cause of action against either Party by any person or entity not a party to this Agreement. 19. NO ASSIGNMENI Client shall not assign, delegate, or otherwise transfer any duties or obligations under this Agreement without the prior written consent of Clinic. Any effort to do so shall be void and be cause for immediate termination of this Agreement by Clinic. 20. NO WAIVER. No failure by either Party to insist upon the strict performance of any provision of this Agreement shall be construed as depriving that Party of the right to insist on strict perfonnance of such provision or of any other provision in the future, and no waiver shall be deemed to have been made unless expressly in writing and signed by the other Party. 21. BINDING EFFECT. This Agreement is binding on the parties and on their respective executors, administrators, representative. successors and assigns. 22. CONSTRUCTION OF AGREEMEM. The parties agree that each party and its/his/her counsel have participated in the review and revision of this agreement and that any rule of construction to the effect that ambiguities are to be resolved against the drafting party shall not apply in the interpretation of this Agreement and any Attachment or amendment. 23. COUNTERPARTS. This Agreement may be executed in one or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument, notwithstanding the fact that each Party may not have executed the same counterpart. IN WITNESS WHEREOF, the parties have executed this instrument to be effective as of the Effective Date first above written. CLIENT:CLINIC: By Its By lts 8