CONFIDENTIALITY AND CLIENT AGREEMENT

referred to as "Client", wishes to evaluate confidential information regarding practice opportunities presented by ADS South, LLC, referred to as “ADS”. Client recognizes that any confidential information provided it by ADS or its representatives regarding professional practices could, if disclosed, cause damage to the individuals disclosing the information and to ADS.

Client agrees that it will not divulge, communicate, or otherwise disclose any confidential material provided by ADS, its representatives, or clients of ADS, to anyone, including employees, customers, clients, or prospective clients, with the exception of Client’s bonafide counsel. Client further agrees that its bonafide counsel will maintain the confidentiality of any information provided to them as well. Confidential information consists of, but is not limited to the following:

Client shall not contact any staff member of an owner referred to Client by ADS without the express permission of the owner. Client agrees to return any and all information provided to Client to ADS immediately upon ADS’s request. In addition, Client acknowledges the following:

Practice Transitions Made Perfect TM
ADS South, LLC | 770.664.1982 | Fax 678.965.1812
www.adssouth.com
All ADS companies are individually owned and operated.

The undersigned has executed this Agreement on the day and year written below.

(Electronic submission of your name in the "Client Signature" field below constitutes your signature and agreement to the terms of this agreement.)

Do you want to buy a practice or be an associate
Do you want a GP or specialty (specify) practice
Desired Location(s)
How did you hear about us?
Practice Transitions Made Perfect TM
ADS South, LLC | 770.664.1982 | Fax 678.965.1812
www.adssouth.com
All ADS companies are individually owned and operated.