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1. Parties: Identification of the releasing party (injured person) and released party (person/entity being released)
2. Background: Details of the incident, including date, location, and nature of injuries
3. Definitions: Key terms used in the release, including 'Claims', 'Injuries', 'Released Parties'
4. Consideration: Statement of the settlement amount and payment terms
5. Release Terms: Specific terms of release, including scope of claims being released
6. Representations and Warranties: Statements confirming understanding and voluntary nature of release
7. Governing Law: Jurisdiction and applicable law
1. Medicare/Medicaid Provisions: Required when Medicare/Medicaid benefits are involved - use when the injured party is a Medicare/Medicaid beneficiary
2. Confidentiality: Terms regarding confidentiality of settlement - use when parties wish to keep settlement terms private
3. Non-Disparagement: Agreement not to make negative statements about other party - use when reputation protection is important
4. Future Medical Expenses: Provisions regarding future medical care - use when ongoing medical treatment is anticipated
1. Medical Records Summary: Summary of relevant medical records and treatments
2. Itemized Damages: Detailed breakdown of damages being compensated
3. Lien Information: List of any existing liens against the settlement
4. Insurance Information: Relevant insurance policy details and coverage
Accident
Claims
Consideration
Effective Date
Incident
Injuries
Known Claims
Medical Expenses
Parties
Released Claims
Released Parties
Releasing Party
Settlement Amount
Settlement Payment
Unknown Claims
Future Claims
Liens
Medicare/Medicaid Interest
Representatives
Heirs
Successors
Assigns
Property Damage
Related Expenses
Insurance Coverage
Date of Loss
Place of Incident
Governing Law
Jurisdiction
Payment Terms
Confidentiality
Indemnification
Warranty
Representation
Medicare Compliance
Lien Resolution
Non-Admission of Liability
Integration
Severability
Governing Law
Jurisdiction
Non-Disparagement
Voluntary Agreement
Medical Expenses
Future Claims Waiver
Binding Effect
No Assignment
Subrogation Rights
Acknowledgment
Tax Liability
Modification
Attorney Consultation
Capacity to Contract
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