London Health Sciences Centre

LonDIS Drug Information Services Subscription Agreement – Retail Pharmacy

Section A. Pharmacy Information

Pharmacy Information

/ Office Use Only /

Billing Information

/ Office Use Only
Pharmacy Name:
Mailing Address: / E-mail Address:
City/Town: Ontario / Pharmacists:
Postal Code:
Phone:
Fax:
Pharmacy Manager:Mr.Mrs.Ms. / OCP Pharmacy License #:

□ indicates payment with cheque

□ indicates payment with credit card. Please call 519-685-8500 ext 32619 after faxing this completed form to complete the transaction

Section B. Subscription Period

Subscription period begins: (date to begin your subscription please include the full date: dd/mon/year) and continues until December 31, 2013. Once your subscription is processed, a certificate will be issued to your pharmacy. Keep this information for your future reference

Section C. Subscription Authorization

The client subscribes to the LonDIS services and accepts all of the terms and conditions as outlined on the next page.

Date:

Name (print):

Signature:______

Section D. Drug Information Services Available

Subscription to the LonDIS centre provides employees working for the above noted pharmacy the following services. Employees must be engaged in work for the pharmacy subscriber when accessing LonDIS services.

  • Answers to drug information questions via local phone, fax, toll free phone (Long Distance customers only) or Internet E-mail.
  • Services offered Monday – Friday, 0830h – 1630h Eastern Time (Statutory holidays excluded)
  • 20% reduction on registration fee for the annual LHSC Therapeutics in Action Conference
  • List of reference articles available on request

PLEASE COMPLETE GREY BOXES AND FAX TO LONDIS AT 519-663-2968

Terms and Conditions

  1. ARTICLE 1 TERMINATION
  2. This Agreement shall be deemed terminated and LHSC discharged from any further liability to perform services upon thirty (30) days’ written notice by either party to the other
  3. If the Agreement is cancelled by the Client prior to the end of the current subscription year, LHSC may retain any unused portion of the subscription fee.
  4. ARTICLE 2 LIABILITY OF LHSC
  5. In consideration of the provision of the services by LHSC to the Client under this Agreement, the Client agrees that any and all claims which it has or hereafter may have against LHSC in any way arising out of or related to LHSC’s duties and responsibilities pursuant to this Agreement (hereinafter referred to in this Article 2.1 as “claims” or “claim”), whether such claims sound in contract or in tort, shall be limited to the amount of coverage as provided by LHSC’s liability insurance in effect at the date of the occurrence, including the deductible portion thereof, and to the extent only that such insurance is available to LHSC to satisfy such claims.
  6. It is agreed that LHSC shall not be liable for any claim, action or suit arising out of or in connection with the negligent or inappropriate use of the Services by the Client or its respective agents, employees or consultants
  7. LHSC’s liability for all claims of the Client arising out of this Agreement shall absolutely cease to exist after a period of two years from the date of the service agreement, or expiration of the limitation period for claims prescribed by any statute of the province, state or territory in which the Services are performed, whichever shall first occur, and following the expiration of such period, the Client shall have no claim whatsoever against LHSC. LHSC’s liability with respect to any claims arising out of this Agreement shall be absolutely limited to direct damages arising out of LHSC’s Services rendered under this Agreement, and LHSC shall bear no liability whatsoever for any consequential loss, injury or damage incurred by the Client.
  1. ARTICLE 3 PROPRIETARY RIGHT
  2. All information supplied by LHSC is proprietary to LHSC and may not be copied or reproduced. No part of the information supplied to the Client may be reproduced, stored in a retrieval system or transmitted in any form or by any means including electronically, mechanically, photocopying, recording or otherwise without the written permission of LHSC.
  1. ARTICLE 4 FORCE MAJEURE
  2. Each party shall be relieved from the performance of any obligation hereunder if such performance is prevented by any cause of any kind whatsoever not reasonably within the control of such party, including but not limited to lack of governmental approval or authority, acts of God and the public enemy, the elements, fire, accidents, breakdowns, vandalism, sabotage, breakage, or accident to equipment, inability to obtain or the curtailment of supplies, materials, equipment, permits or labour required to perform or comply with any obligation under this agreement, strikes, lockouts and any other civil or public disturbances.
  1. ARTICLE 5 RELATIONSHIP OF PARTIES
  2. In performing the services, the LHSC shall be an independent contractor, and shall not be considered as a partner, agent or joint venturer of or with the Client and this agreement shall not be construed to create a partnership, agency or joint venture.
  1. ARTICLE 6 NOTICES
  2. Wherever in this Agreement it shall be required or permitted that notice be given or served by either party to or on the other, the notice shall be in writing and shall be delivered personally to the party to whom it is given or sent be prepaid, registered mail, or by telecopier, addressed as follows: Attention LonDIS Coordinator: London Health Sciences Centre – Pharmacy Services – 339 Windermere Road, London, Ontario N6A 5A5 Fax (519) 663 2968. Each such notice shall be deemed given on the date of delivery in the case of delivery, five days after mailing in the case of mail and 24 hours after the time of transmission in the case of facsimile, telex or telegraph. No notice may be given by mail during a real or threatened mail strike. The address may be changed from time to time by either party by notice as above provided.
  1. ARTICLE 7 ARTICLE INTERPRETATION
  2. Entire Agreement and Waiver: This Agreement constitutes all of the agreements between LHSC and the Client pertaining to the subject matter of it and supersedes all prior agreements, undertakings, negotiations and discussions, whether oral or written, of the parties to it and there are no warranties; representations or other agreements between the parties to it in connection with the subject matter of it except as specifically set forth or referred to in this Agreement. No supplement, modification, waiver or termination of this Agreement shall be binding unless executed in writing by the party hereto to be bound thereby. No waiver of any other provisions of this Agreement (whether or not similar) nor shall the waiver constitute a continuing waiver unless otherwise expressly provided.
  3. Applicable Law: This Agreement shall be governed by and construed in accordance with the laws of the Province of Ontario and the laws of Canada in force therein.
  4. Invalidity of Provision: The invalidity or unenforceability of any provision of this Agreement or any covenant in it shall not affect the validity or enforceability of any other provision or covenant in it and the invalid provision or covenant shall be deemed to be severable.