HOLD HARMLESS: With regard to referrals received through WOMHA’s print directory, contracting, referral or web listing services: I shall assume the risk of liability for, and shall indemnify, defend, protect and hold harmless WOMHA, and its affiliated chapters, hereafter referred to as the "Service" and the officers, agents and employees of those entities from and against any and all claims, damages, suits, judgments, liabilities, losses, court costs and expenses, including attorney's fees, for all injury, sickness, disease, or damages arising out of, or in the course of my accepting a referral or making a referral to another member by me or any of my agents or employees and for any acts or omissions in my treating or not treating patients referred to me by this Service. I also agree to keep my malpractice insurance in force until the statutes of limitations expire for the filing of malpractice claims associated with any person referred by this Service. *
Please enter your initials to verify that you have read and understood this hold harmless statement.