RNS System Patient Volunteer Agreement
I, , volunteer to share my experiences with the NeuroPace® RNS® System with patients and/or caregivers (“interested individuals”) who want to find out more about what it is like to be treated with the RNS® System, and NeuroPace, Inc. would like to help connect me with those interested individuals. This agreement documents the relationship between me and NeuroPace for accomplishing this purpose.
I agree that:
NeuroPace agrees that:
Other terms and conditions:
BY SIGNING BELOW, YOU AGREE TO THE TERMS AND CONDITIONS OF THIS AGREEMENT:
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Signed by NeuroPace Inc.
Signed On: August 29, 2016
If you have questions about the contents of this document, you can email the document owner.
Document Name: RNS System Patient Volunteer Agreement
Agree & Sign