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ADM Liability Waiver and Release of Claims
 

I state that I know and appreciate that there are risks (known and unknown) associated with the use of the ADM, including, but not limited to, the risk that the Patient’s condition will not get better and may in fact get worse.  I further state that I know and appreciate that the medical provider’s orders regarding the use of the ADM need to be followed, and if they are not, the Patient’s condition may not get better and may in fact get worse.  I further know and appreciate that I need to make sure that the Patient keeps scheduled appointments with his/her medical provider, and that I need to report any changes in condition to the medical provider.  I further know and appreciate that I need to follow any and all instructions given by the medical provider or C-Pro.  Finally, I know and appreciate that I need to make sure that the fit of the ADM is proper and it is used according to the instructions of the medical provider, and if is not, immediately report this to the medical provider.



To the fullest extent allowed by law, I hereby release, forever discharge, and agree to hold harmless C-Pro Direct Ltd, and their employees, representatives, suppliers, and agents from any and all liability for all claims of any kind for personal injury, illness, death; property damage or loss; hospital, medical, or other related expense, and any other damages or losses that may occur during, or arise from, the sale or use of the ADM.  The above applies to any and all claims of any nature that could be made in my capacity as parent or guardian on my own behalf or on behalf of the Patient.



I agree that in the event that any clause or provision of this Waiver and Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Waiver and Release which shall continue to be enforceable.