AGREEMENT FOR CHARITABLE ASSISTANCE
ACKNOWLEDGEMENT
Upon agreeing to the terms below, you
acknowledge your understanding of:
Role of the Organization: The organization, is a
non-profit entity that offers financial support
for cataract surgeries to individuals in
financial need. The Organization strictly offers
monetary assistance and does not provide medical
services or advice.
Medical Acknowledgements: The Organization does
not offer medical services or advice. It is your
responsibility to seek medical advice,
evaluations, and services from licensed medical
professionals.
Liability: The Organization, its agents, and
employees are not liable for claims or damages
related to your medical condition, surgery, or
any other procedures. You release the
Organization and its affiliates from such claims
and damages.
Indemnification: You agree to protect the
Organization, its affiliates, and third-party
information providers from losses, damages, and
costs, including reasonable attorneys' fees,
arising from any breach of this agreement or any
activity related to your receipt of financial
assistance.
Limitation of Assistance: The Organization's
financial assistance only covers your cataract
surgery costs. All other medical procedures,
treatments, or related costs are your sole
responsibility.
No Guarantee of Outcome: The Organization does
not make any promises or guarantees regarding
the outcome of the cataract surgery or other
medical procedures. Medical procedures involve
risk, and the final decision regarding your
healthcare rests with you and your healthcare
provider.
Release of Information: You grant the
Organization the right to use and disclose your
personal and medical information, including your
name, image, medical condition, and the details
of the assistance you received, for legitimate
purposes. This may include publication on the
Organization's website, social media, and other
publicity materials, or sharing with other
organizations or entities, in accordance with
applicable privacy laws. You can revoke this
authorization by written notice to the
Organization, except where the Organization has
already acted upon this authorization.
Termination of Assistance: The Organization
reserves the right to terminate your
participation in the program and cease its
provision of financial assistance at any time
and for any reason, in accordance with
applicable laws.
Dispute Resolution: Any dispute related to this
agreement will be resolved by arbitration under
the rules of the jurisdiction where the
Organization operates.
Severability: If any clause of this agreement is
found to be invalid by a competent court, the
remaining provisions will continue in full force
and effect.
