I am transferring to another residency program in another state, and I need to apply for a license in that new state.
That state is requesting that my program fill out a form and answer some questions about my time in my current program. I have been on probation and so the program has to submit a short write-up to the state medical board explaining why. The program is asking me to sign a waiver to release my information to the board.
That's understandable but the waiver also includes the following language:
"I hereby release and forever discharge [my residency program] including its corporate members, directors, officers, employees, agents, faculty, representatives, affiliates, partners, program directors, assistant program directors from any and all liability whatsoever relating to the release of the information and documents described above including, but not limited to, contract claims, court claims, defamation claims, discrimination claims (including, but not limited to, claims based on age, sex, national origin, sexual orientation, religion, race, ancestry, color, disability, harassment, retaliation, and other legally protected category or characteristic ) and/or any other claims whatsoever. This release includes a waiver of all known and unknown claims."
Is this language standard for information release forms to state medical boards?
My program and I have quite a long history - it's never been a good fit. I do not want to waive the right to future lawsuits if necessary, particularly when I do not agree with a lot of the assessments in my probation documents. But more importantly, it is my program and my time in training. My program will not release my information and sign the required forms unless I sign this waiver! I should be able to discharge my training information and history to the state medical board without having to agree to this language, right? Am I making too big of a deal out of this or do I need a lawyer?
That state is requesting that my program fill out a form and answer some questions about my time in my current program. I have been on probation and so the program has to submit a short write-up to the state medical board explaining why. The program is asking me to sign a waiver to release my information to the board.
That's understandable but the waiver also includes the following language:
"I hereby release and forever discharge [my residency program] including its corporate members, directors, officers, employees, agents, faculty, representatives, affiliates, partners, program directors, assistant program directors from any and all liability whatsoever relating to the release of the information and documents described above including, but not limited to, contract claims, court claims, defamation claims, discrimination claims (including, but not limited to, claims based on age, sex, national origin, sexual orientation, religion, race, ancestry, color, disability, harassment, retaliation, and other legally protected category or characteristic ) and/or any other claims whatsoever. This release includes a waiver of all known and unknown claims."
Is this language standard for information release forms to state medical boards?
My program and I have quite a long history - it's never been a good fit. I do not want to waive the right to future lawsuits if necessary, particularly when I do not agree with a lot of the assessments in my probation documents. But more importantly, it is my program and my time in training. My program will not release my information and sign the required forms unless I sign this waiver! I should be able to discharge my training information and history to the state medical board without having to agree to this language, right? Am I making too big of a deal out of this or do I need a lawyer?
