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Directory Pledge

FEATURED SURGEONS (board-certified plastic surgeons who purchase an Enhanced Listing):
read, accept, date and sign this Directory Pledge prior to initial listing.
Surgeons are encouraged to date and sign the Directory Pledge yearly.
A link to each featured surgeon's most recently signed Directory Pledge appears in his/her listing.

This is Page 2 of our application process.
Page 1: Directory Application: medical practice information is collected for a surgeon's city listing.
RENEWING SURGEONS:
please refer to your Renewal Packet, or contact Marion@BoardCertifiedPlasticSurgeon.com, with questions.


Surgeon Signature:__________________________________________Date Signed:_______________

By signing the above, I am stating that I am board-certified in plastic surgery by the American Board of Plastic Surgery, Inc. or the Royal College of Physicians and Surgeons of Canada, that my medical license in the state where I am practicing is current and has not been revoked (nor has it been revoked in any other state), and that, to the best of my knowledge, I am not currently being investigated or disciplined for medical malpractice, or being considered for discipline for medical malpractice, by the Board of Medical Examiners of any state or country, nor has any Medical Board or comparable supervisory board deemed it necessary to bring disciplinary action against me for a minimum of 5 years.

I further state there have been no malpractice judgments or settlements against me for a minimum of 5 years.
I also promise to inform, immediately, the webmaster of www.BoardCertifiedPlasticSurgeon.com if the status of any of the above specifications have changed at any time during my listing period.


Updated June 27, 2014

MAILING INSTRUCTIONS

Please mail this dated and signed Pledge and Directory Application with relevant fee payable to:
BoardCertifiedPlasticSurgeon.com, PO BOX 442, Pittston, PA 18640.
Email Contact: Marion@BoardCertifiedPlasticSurgeon.com

Part 2: DIRECTORY APPLICATION

TERMS

I understand that listing on BoardCertifiedPlasticSurgeon.com is at the sole discretion of the webmaster of BoardCertifiedPlasticSurgeon.com, I understand that my listing on BoardCertifiedPlasticSurgeon.com may be removed, for any reason, at the sole discretion of the webmaster and the fee paid will be refunded on a pro-rated basis. I agree with these terms and also agree not to take any legal action, and agree to forfeit the right to any and all legal action, against the webmaster or administrators of www.boardcertifiedplasticsurgeon.com for the removal of my listing. And legal issues will be settled by means of an independent online mediator, and not through a physical court of law, chosen by means determined to be fair by both parties."

The terms of this agreement are for a limited time. The administrators of www.BoardCertifiedPlasticSurgeon.com reserve the right to change any and all terms and agreements without prior notice, and at our sole discretion. We also reserve the right to refuse to list any applicant, or to remove a listing, subject to a refund as set forth above, for any reason at any time, at our sole discretion. Please note that our administrators may check with applicable state Board of Medical Examiners/Board of Medicine to verify certain credentials. Thank you.


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