Laserfiche WebLink
indivldualwillstillnsed ts be screen*d against the site's eligibility criteria to *nsure thatthe persr:n's nseds are best met thraugh an RNp. <br />Relatisnrhip' Nothing in this Mou shall be construed as making either party the partner, jointventure, agent' employer, or employee of the other" Neirher party $hall have the suthority tomake any statemgnt$, representations nor cornmitmsnts of eny kind ar to take any actionbinding on the other except as providcd for herein or authorired ln writing hy the party to bebcund" <br />c'onfldentlallty" As OwG participants, I may identify individuals and lisren to privrtelpersonatinformation shared by other ow6 members. I agree not to r*-disclose any patient.identifuinginfcrmation sr anything shared in the ow6 meetings. N understand the importance ofmaintaining canlidentiality and I will not violate substance use disorder 4? cf * Fart 2 andHIPAA l;ws that protect al! disclosures and private health information of participants in the RNp <br />K I"i r f, tq:nl,liul'{1 -4ri- <br />ilerne of Partner Agenry <br />8.1,.# V <br />{Print and sign name} <br />sats: 7_!a#:. A"' _ - <br />MERIT flesourcs Servicer <br />Shereen Hunt, fixecutive Director <br />Oate: <br />Merit and Rl{f #WS A0ZI <br />Page 3