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Primary Source Verification of Health Care Professionals

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The personal information collected on this form is used to provide you with the material you are requesting as well as other information about products and services offered by Joint Commission International, a division of Joint Commission Resources, Inc., The Joint Commission, and the Joint Commission Center for Transforming Healthcare, (together, the "Company"). The personal information you provide will be stored in the United States on computer data storage devices or paper records of the Company, or in cloud storage hosted by a contracted third party service provider and subject to privacy and security obligations. Your personal information will be retained by the Company as long as necessary to carry out purposes listed above and/or as required by applicable law. For further information about the use of your information and our privacy commitments please see the Privacy and Cookie Statement.