As you are aware, COVID-19 has been declared a worldwide pandemic by the World Health Organization. The state of medical knowledge is evolving, but we do know it is highly contagious. The virus is spread from person-to-person contact, contact with contaminated surfaces and objects, and in suspended air droplets. People who are infected may not exhibit
any signs or symptoms, therefore, spread the disease unknowingly. As there is no confirmed treatment or cure for COVID-19, it can be potentially life threatening or even lead to death.
Although HBHC takes appropriate precautions and ensures clinicians are trained on infection control policies, procedures, and expectations, we cannot say with absolute certainty that we can prevent you or your child(ren) from being exposed to, contracting, or spreading COVID-19 while receiving services provided by HBHC. HBHC is adhering to guidelines received by the Centers for Disease Control and the Colorado Health Department regarding protocols and regulations, however, we cannot guarantee that if you choose to utilize HBHC services or enter onto HBHC premises, you are not at risk of contracting
or spreading COVID-19.
ASSUMPTION OF RISK: I have read and understood the above warning regarding COVID-19. I hereby choose to accept the risk of contracting and/or spreading COVID-19 for myself and/or my child(ren) in order to utilize HBHC services. These services are of such value to me and/or to my child(ren), that I accept the risk of being exposed to, contracting, and/or spreading
COVID-19. I have been offered alternate methods of obtaining services via Telehealth.
WAIVER OF LAWSUIT/LIABILITY: I hereby forever release and waive my right to sue HBHC and its owners, administrators, managers, employees, or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to utilizing HBHC services and premises. I understand that this waiver means I give up my right to bring any claims against HBHC for issues including but not limited to: personal injury, disease, property losses, any other losses, negligence, or death, and I give up any claims I may want to seek for damages, whether known or unknown, foreseen or unforeseen.
CHOICE OF LAW: I understand and agree that the law of the State of Colorado will apply to this contract.