By my signature below, I certify each of the following:

1. I have completed CutisCare’s General Compliance Training 2019 in the CutisCare website.
2. I understand that successful completion of the CutisCare Compliance Assessment Test is a mandatory part of CutisCare’s annual Compliance Program training.
3. I have received and reviewed the latest version of each of: (a) CutisCare’s Compliance Program and Code, (b) CutisCare’s policies and procedures, and (c) the Hospital compliance requirements for my facility.
4. I have had an opportunity to have my questions answered and I am aware of the methods set forth in the Program and the Code to have future questions answered.
5. I acknowledge that I am bound by, and will comply with, CutisCare’s Compliance Program, including the Code, the Hospital compliance requirements for my facility, and the policies and procedures of CutisCare and its Hospital Client.
6. I will promptly report to CutisCare, in any manner set forth in the Code, any actual or suspected violations, by anyone, of the Compliance and Ethics Requirements of CutisCare or its Hospital Client, or Applicable Federal and State Requirements.
7. I recognize that I owe a duty of loyalty to CutisCare and, as of today, I am not aware of any actual or potential conflicts of interest except those that I have reported today to hr@cutiscareusa.com and tmoyer@cutiscareusa.com.
8. I recognize that non-compliance with the Compliance and Ethics Requirements of CutisCare and its Hospital Client, and Applicable Federal and State Requirements may result in a number of consequences, including, but not limited to, disciplinary actions, termination, restitution, or referral to the appropriate government officials.
9. I understand that my electronic signature has the same legal effect and can be enforced in the same way as a written signature.