| If you elect to electronically submit a completed Physician Scheduling Form or any other information to Cypress Fairbanks Medical Center through this web site, you agree that you do so at your own choice and risk, and that you assume all responsibility for any liability arising from such electronic submission and from any errors or omissions in the data you provide. You agree to release and hold Cypress Fairbanks Medical Center and its affiliates (including its directors, officers, employees, shareholders, agents and representatives) harmless from any and all liability or cause of action arising from the interception, access or use by a third party of any information submitted electronically by you through this web site and from any errors or omissions in the data you provide. Additionally, the provision of any information to Cypress Fairbanks Medical Center by you through this web site, including a completed Physician Scheduling Form, does not create or constitute any relationship between you and Cypress Fairbanks Medical Center, its affiliates, or any of the physicians on its staff, to which any privilege may attach.
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