To receive a list via e-mail of Certified Peer Support Specialists (CPSSs) and/or Certified Family Support Partners (CFSPs), please read the Release and Waiver statement below and complete the form on this page in its entirety.
Release and Waiver
By completing the form below, you confirm your understanding that this release and waiver discharges BPA Health and the state of Idaho and/or the Idaho Department of Health and Welfare from any liability or claim that you may have against BPA Health and the state of Idaho and/or the Idaho Department of Health and Welfare with respect to any bodily injury, personal injury, illness, death, or property damage that may result from your work or contact with Peer Support Specialists or Family Support Partners in the state of Idaho, whether caused by the negligence of BPA Health, the state of Idaho or the Idaho Department of Health and Welfare, its directors, employees, agents or otherwise.
You covenant not to bring any action against BPA Health, the state of Idaho and/or the Idaho Department of Health and Welfare for any such injury or damage.
You also understand that BPA Health, the state of Idaho and the Idaho Department of Health and Welfare do not assume any responsibility for or obligation to provide financial or other assistance including but not limited to medical, health or disability insurance in the event of injury or illness.
By signing in the box below, I certify that I have read, understand and agree, without exception, to the entirety of the release and waiver statement provided on this page.
Enter Your Name
Select which list you would like to receive by email: