Confidentiality Agreement Form 35 Page 2

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9.
Governing Law. This Agreement shall be governed by and construed in
accordance with the law of the State of Colorado, and nothing in this Agreement shall
be construed to modify or eliminate any remedies provided in the Colorado Uniform
Trade Secrets Act; C.R.S 7-74-101 et seq.
10.
Counterparts. This Agreement may be executed in multiple counterparts,
each of which shall be deemed an original but all of which shall constitute a single
instrument.
IN WITNESS WHEREOF, the Parties hereto have duly executed this Agreement as of
the date noted below.
HEALTH PROFESSIONAL
Company:___________________________________________________
Name (print):_________________________________________________
Signature:___________________________________________________
Title:_______________________________________________________
Date:_____________________________________________
CUSTODIAN
Company:___________________________________________________
Name (print):_________________________________________________
Signature:___________________________________________________
Title:_______________________________________________________
Date:_____________________________________________
Page 2 of 2
(Form 35, as of 03/05/2012)

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