HFC is not a medical provider, nor will HFC possess or retain your personal healthcare information or that of your loved ones suffering from Alzheimer’s (“PHI”) without your express disclosure and release of PHI.  To the extent you disclose any PHI without obligation of nondisclosure on the part of all participants in a support group, such information may be deemed to be non-confidential.  Notwithstanding the foregoing, we ask that participants adhere to a sense of understanding and sensitivity with respect to others’ personal information disclosed in support groups.

In consideration of HFC allowing me to participate in HFC’s support groups, and/or use HFC’s other services (collectively, “HFC Services”), I agree that if I engage in any activity hosted by HFC or its representatives (including support group facilitators) or accept the benefit of HFC Services, I do so at my own risk. I hereby certify and declare that on behalf of myself and, as applicable, each of my minor children, spouse, heirs, beneficiaries, attorneys, agents and assigns, I hereby waive, will release, covenant not to sue, and forever hold free and discharge from any liability HFC and each of its, affiliates, agents, directors, officers, employees, contractors, instructors, volunteers and representatives (collectively, the “HFC Parties”), of and from all claims, demands, rights and causes of action of any nature whatsoever, which may have or which may hereafter accrue to me,  arising out of or in connection with the conduct, acts, or omissions of the HFC Parties, and my use of HFC Services, whether known or unknown, seen or unforeseen, resulting from my participation in HFC support groups or otherwise accepting HFC Services, including, without limitation, any data breach or loss of privacy.  

Further, knowing and understanding these risks, nevertheless, I hereby agree to voluntarily assume these risks and agree to indemnify the above-named released HFC Parties in the event my family pursues any claim waived and/or released herein. I understand that this indemnification includes payment for all loss, including any court or arbitration costs, attorney’s fees, awards incurred by or adjudged against the above-named released HFC Parties.