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Registration

Thank you for taking a moment to tell us about yourself and how to best contact you.  Please read the Waiver and Release Agreement before clicking on the link below to register.  

All information will be kept strictly confidential is never shared or sold.


Wavier and Release Agreement

  1. I understand that the information provided to me through Inova BabyNET is for informational and educational purposes only, and it is neither intended nor implied to be a substitute for professional medical advice. I understand that I should seek the advice of my physician with any questions I may have regarding any personal medical condition. I assume any and all risks associated with participating in Inova BabyNET, with or without prior consultation with my physician.
  2. I understand that I may discontinue participation in Inova BabyNET at any time.
  3. All information related to my participation in Inova BabyNET will be treated in a strictly confidential and private manner at all times. Data from all program participants are reviewed, evaluated and reported in order to monitor  and improve program effectiveness. I understand that reports will be constructed so that all individuals will be protected from any identification or disclosure.
  4. I understand that Inova Health System, by making Inova BabyNET available, is not undertaking any responsibility regarding my medical condition(s). If my medical condition should change or require medical attention, I will immediately consult with my physician.
  5. I hereby release and hold harmless Inova Health Systems, their respective directors, trustees, officers, parents, subsidiaries, affiliates, employees and agents from and against any and all demands, damages, losses, costs, expenses, obligations, liabilities, claims, actions, and causes of action (whether any of which is groundless or otherwise) of any nature whatsoever (including, without limitations, reasonable attorney's fees and court costs) by reason of or resulting, in any way, from any and all acts, accidents, events, occurrences, omissions and the like related to, or arising out of , directly or indirectly, my participation in Inova BabyNET.
  6. Should a provision of this agreement or portion thereof be found invalid or void as against public policy by any court of competent jurisdiction, the remainder of this agreement shall nonetheless remain in full force and effect.
  7. By registering I agree to this Waiver and Release Agreement and I am acknowledging that I understand and accept the terms of this agreement.
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You will hear from your Care Manager within three business days of completing your registration.