Purpose:
This waiver outlines the responsibilities and risks associated with the use of the MedCertify-provided Phlebotomy Practice Kit for remote, instructor-guided training. This training is intended solely for simulation and educational purposes and is not a substitute for clinical experience under licensed supervision.
Student Acknowledgment and Assumption of Risk
I, the undersigned student, acknowledge and agree to the following:
1. Educational Use Only
The phlebotomy practice kit provided by MedCertify is for simulation and educational purposes only. It is not to be used for any procedure on a live person under any circumstances.
2. Prohibition on Live Practice
I will not attempt venipuncture or any invasive procedure on any live person, including myself, family members, or others. All hands-on practice is to be conducted exclusively using the provided simulation tools (e.g., artificial practice arm).
3. Independent Practice Acknowledgment
I understand that I am engaging in independent practice without in-person supervision from a certified instructor or licensed healthcare provider. I recognize that this training model involves inherent risks, including but not limited to personal injury, improper technique, or adverse reactions.
4. Waiver of Liability and Assumption of Risk
I release, discharge, and hold harmless MedCertify, its officers, directors, instructors, employees, contractors, affiliates, and agents from any and all claims, demands, causes of action, or liability for any injury, loss, or damage resulting from or related to the use or misuse of the phlebotomy practice kit.
This waiver includes, without limitation, any claims arising from the ordinary negligence of MedCertify or its personnel, to the fullest extent permitted by applicable law.
5. Compliance Requirement
I agree to follow all video demonstrations, safety protocols, and instructions provided by MedCertify. I understand that I am required to have my video camera on during all live instruction sessions for supervision, participation, and competency verification. Failure to comply may result in my removal from the training program.
6. Medical Emergency Disclaimer
In the event of any injury, adverse reaction, or concern during practice, I agree to seek immediate medical attention. I understand that MedCertify does not provide medical care, emergency response, or liability coverage for injuries occurring during remote training.
7. Indemnification
I agree to indemnify, defend, and hold harmless MedCertify and its representatives from any claims, demands, losses, damages, or legal expenses (including attorneys’ fees) arising from my actions, misuse of training materials, or breach of this agreement.
8. Governing Law and Severability
This Agreement shall be governed by and interpreted in accordance with the laws of the State of [Insert State]. If any provision of this waiver is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.
9.Statement of Legal Competency
I affirm that I am at least 18 years of age and legally competent to sign this waiver. If I am under 18, I affirm that this waiver has been reviewed and signed by my parent or legal guardian.
Acknowledgment and Signature
By signing below, I acknowledge that I have read, understood, and voluntarily agree to the terms of this waiver. I accept full responsibility for my participation in the remote phlebotomy training using the MedCertify-provided practice kit.