By clicking the Agree and Continue button below, I hereby agree to and accept the following terms and conditions:
 
  1. I understand that I will be sent to an external website that is wholly owned and operated by Commerce Bank (the “Commerce Bank Site”). I understand that Commerce Bank is a separate and distinct corporate entity from Northern Light Health and that neither Commerce Bank nor Northern Light Health is under common control or ownership with the other. Neither Commerce Bank nor Northern Light Health has any right or authority to bind the other or create any obligation or responsibility, express or implied, on behalf of the other, or in the other's name. I further understand that Commerce Bank and Northern Light Health are not partners or joint venturers, nor is there any relationship of employer and employee, master and servant, franchisor and franchisee, or principal and agent between them.
     
  2. I expressly request that Northern Light Health release to Commerce Bank any of my individually identifiable information that Commerce Bank reasonably requires in connection with potential health services financing opportunities, including without limitation any information Commerce Bank reasonably requires to verify the account information I have entered on the Commerce Bank Site. I further request that Northern Light Health provide updated information to Commerce Bank in the event my individually identifiable information should change following the date hereof.
     
  3. I understand that Northern Light Health and its employees, affiliates and agents do not guarantee, directly or indirectly, that I will subsequently enter into a health services financing arrangement with Commerce Bank.
     
  4. I hereby release and hold harmless Northern Light Health and its employees, affiliates and agents from any and all claims and actions based upon, arising out of, or relating in any way to (i) any disclosure of my individually identifiable information pursuant hereto or (ii) any health services financing arrangements or other relationships, of whatever kind or nature, that I may pursue with Commerce Bank.
     
  5. I will contact Commerce Bank with all questions regarding potential health services financing opportunities.
     
Agree and Continue

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