PART ONE:

In hopes to secure the applicants donation, it is imperative that the information listed on the application is accurate and true. The contact information for the hospital and or social worker that is works on behalf of the hospital must be verified. Due to HIPPA guidelines, the organization understands privacy and conditions with being verified as a patient of the hospital. Maison Alexander Support Group INC. will not request details within the applicants / clients neonatal progress and or medical history. The divine purpose is to confirm the applicant / client is in fact a patient with the hospital and currently in the neonatal unit. Maison Alexander Support Group INC. will work diligently with the hospital to confirm the applicant /client on the hospital terms. Should the hospital request information from and or by Maison Alexander Support Group INC., the applicant / client will be notified and expected to assist Maison Alexander Support Group INC. within this verification process. Failure to do so will result in the application being denied and or services being eliminated.

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PART TWO:

All decisions made are based upon the applicants / clients current situation in the neonatal unit. To protect both the organization and the applicants / clients, all information is kept confidential and private. In doing so, we encourage all applicants / clients to do the same. Maison Alexander Support Group INC. requests that all applicants /clients do not share and or release their donation reward, counseling details and or all services rendered. The organization understands the serverity of the neonatal experience and this process is not taken likely. Failure to respect and adhere to this request will cause the applicant / client to be reviewed for reconsideration and or eliminated from assistance.

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PART THREE:

Failure to comply to this application clause will forfeit any and all current and or future assistance with Maison Alexander Support Group INC. Failure to comply with the rules and regulations of any and all application process will deny the application entirely. Should the application be approved and any form of the entire clause becomes violated, it will deny the application and or progress of the application immediately. Should the application be approved and during the process of the program and or counseling services, a violation to the organization occur, the approval is revoked immediately, services are cancelled immediately and both phone call and a letter will be issued immediately to advise the updated status of applicant / client along with a detailed reason. If at any reason an applicant / client is denied, it is to protect both the applicant / client as well as the organization. Maison Alexander Support Group INC. can withdrawal its overall approval and or services at any time.

 

Until the application is approved by Maison Alexander Support Group INC., you are referred to as an applicant. By agreeing to these terms, you, the applicant, is acknowledging that you have read the Application Clause in its entirety, understand all details listed and agree to be in compliance of the Application Clause that is regulated by the Bylaws of Maison Alexander Support Group INC.

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