This Release and Liability Agreement releases California CareForce (hereinafter “Nonprofit”), a nonprofit organization existing under the laws of the State of California, and each of its directors, officers, employees, and agents, from liability as set forth below, and clarifies the responsibilities of the parties related to Volunteer’s participation in Nonprofit’s community service programs.

The Volunteer desires to provide volunteer services for Nonprofit and engage in activities related to serving as a volunteer. Volunteer understands that the scope of Volunteer’s relationship with Nonprofit is limited to a volunteer position and that no compensation is to be expected in return for services provided by Volunteer, that Nonprofit will not provide any benefits traditionally associated with employment to Volunteer, and that Volunteer is responsible for his/her/its own insurance coverage in the event of a personal injury or illness to the Volunteer or any other person as a result of Volunteer’s services to Nonprofit.

1. Waiver and Release: I, the Volunteer, release and forever discharge and hold harmless Nonprofit and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from the services I provide to patients pursuant to Nonprofit’s community service programs, except to the extent that said liability, claims or demands are the result of the negligent or willful misconduct of the Nonprofit. I understand and acknowledge that this Release discharges Nonprofit from any liability or claim that I may have against Nonprofit with respect to bodily injury, personal injury, illness, death, or property damage that may result from the services I provide to Nonprofit or occurring while I am providing volunteer services.

2. Insurance: I understand that Nonprofit does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to, medical, health, disability benefits, or insurance of any nature in the event of my illness, death, or damage to my property. I expressly waive any such claim for compensation or liability on the part of Nonprofit beyond what may be offered freely by Nonprofit in the event of such injury or medical expenses incurred by me.

3. Medical Treatment: I hereby Release and forever discharge Nonprofit from any claim whatsoever which arises and may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with Nonprofit.

4. Assumption of Risk: I understand that the services I provide to Nonprofit may include activities that may be hazardous to me including, but not limited to, inherently dangerous activities. As a volunteer, I hereby expressly assume the risk of injury or harm from these activities and release Nonprofit from all liability for injury, illness, death, or property damage resulting from the services I provide as a volunteer or occurring while I am providing volunteer services.

5. Photographic Release: I grant and convey to Nonprofit all right, title, and interests in any and all photographs, images, video recordings, or audio recordings, of me or my likeness or voice made by Nonprofit in connection with my providing volunteer services to Nonprofit.

6. Miscellaneous: As a volunteer, I expressly agree that this Release and Agreement is intended to be as broad and inclusive as permitted by the laws of the State of California and that this Release shall be governed by and interpreted in accordance with the laws of the State of California. I agree that in the event that any clause or provision of this Release and Agreement is deemed invalid, the enforceability of the remaining provisions of this Release and Agreement shall not be affected.

Confidentiality Agreement Volunteers/Staff

I, the undersigned, acknowledge that during the course of my voluntary participation or performance of duties at California CareForce Clinics, that I may receive access to confidential information of the organization and/or patients that is prohibited from disclosure to others.

“Confidential Information” means information provided by California CareForce or the patients served at each California CareForce clinic that is not commonly available to the general public, or is required by law or regulation to be protected from disclosure to third parties not considered part of the California CareForce “workforce” as that term is defined by federal and state health information privacy regulations such as the Health Information Portability and Accountability Act. Confidential information includes information contained in patient medical records and any other health information which identifies a patient; quality assurance, research or peer review information; and information concerning the California CareForce employees, services or business operations. Such information can be acquired by any means and in any form, written, spoken or electronic.

I agree not to share, disclose or discuss Confidential Information with anyone who does not have a legitimate interest in such information. I agree not to take picture of videos of patients, their family members or other volunteers unless directed to do so by a California CareForce employee. I will abide by California CareForce policies and procedures concerning the use or disclosure of Confidential Information and I will contact a California CareForce staff person if I have any questions regarding these policies and procedures.

I will maintain and protect the privacy of the California CareForce employees, volunteers and patients in my use and disclosure of Confidential Information, and I will not misuse or be careless with such information. I understand that any violation of this Agreement or California CareForce policies related to access, use or disclosure of Confidential Information may result in significant legal ramifications for which I will be solely responsible with respect to this Agreement.

I acknowledge that I have reviewed all the information above. I understand that compliance with the principles, policies and procedures expressed above is a condition of my participation and continued presence at California CareForce clinics.

By signing below I am indicating that I have read this agreement and fully understand its terms and have signed it freely and voluntarily without any inducement, assurance, or guarantee being made to me, and intend my signature to be a complete and unconditional release of all liability.