NOTE TO PROVIDERS: BY USING THIS SITE, YOU ARE AGREEING TO THE DISCLAIMER BELOW.

ATTENTION: USE OF THIS DATABASE IS A LEGAL WAIVER OF LIABILITY OF CHILDREN'S HOME SOCIETY OF MINNESOTA AND AN AGREEMENT TO THE FOLLOWING:

I understand that my completion of this provider application constitutes a waiver of any and all liability of Children's Home Society & Family Services (CHSFS) for the use of the information I have provided or for any referral of my name to a potential client. In consideration for CHSFS' listing me in "Help: A Directory of Professional Service Providers", I hereby agree to indemnify and hold CHSFS harmless from all liability arising as a result of my inclusion in "Help: A Directory of Professional Service Providers" or referral of any clients or persons to me. I hereby authorize CHSFS to release any and all of the information contained in this application to third parties seeking referrals to or information about the providers and areas of expertise described on the directory. I certify that the information included in this application is true and correct. I understand that CHSFS is not endorsing or evaluating any therapist or service being offered on "Help: A Directory of Professional Service Providers". I understand that CHSFS is not responsible for any misuse or misrepresentation of this information or for any typographical errors in its reproduction. I agree that CHSFS is not responsible for any technical difficulties, which may occur with the directory.