Institutional Evaluation License - DXplain
We are willing to provide you and your Institution/Company access to DXplain (referred to herein as "the Software") over the Internet, from a computer located at the Massachusetts General Hospital, subject to the following terms and conditions:

The Software remains the valuable and proprietary property of the General Hospital Corporation d/b/a/ Massachusetts General Hospital ("the General"). You acknowledge that title to the Software remains with the General and that the General retains all copyright, trade secrets, and other intellectual property rights in the Software.

The Software is made available for your examination and demonstration use. It is being made available at no cost to you for a period of one month. No other right or license is granted to you or your Institution/Company for the use of the Software as a result of our providing you with access. This license is limited to the institution or organization which signs this agreement and may not be assigned. The institution or organization affirms that it is an organization the primary mission of which is either to provide medical care or medical education or other organizations approved by the General.

ACCESS TO THE SOFTWARE IS PROVIDED WITHOUT WARRANTY OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE OR ANY OTHER WARRANTY, EXPRESS OR IMPLIED. You and your Institution/Company agree to release the General, its trustees, appointees, officers, employees, staff members, contractors ,and agents from and against any claim, charge, demand, action or suit whether in contract, tort or otherwise, for any and all losses, costs, charges, claims, demands, fees or expenses or damages of any nature or kind arising out of, connected with or resulting from the use of the Software by you, your Institution/Company or any other individual or entity obtaining access to the Software from you or your Institution/Company or relating in any way to this Agreement.. In no event shall the General be liable to you for special, direct, indirect or consequential damages, losses, costs, charges, claims, demands, fees or expenses of any nature or kind.

Access to the Software is provided to you free of charge. All rights, interests, and title to the Software are the exclusive property of the General.

You agree to maintain your best efforts not to provide the supplied Internet URL, username/password to any individuals not associated with your institution. If the password is provided to anyone else you will notify us immediately by email so that the password can be canceled.

You agree to encourage the users in your institution to use the Feedback feature to enter any comments they may have about potential inaccuracies or incomplete disease descriptions in the DXplain data base.
If these terms and conditions are acceptable to you and your Institution/Company, please print this license agreement, sign where indicated below, have it signed by an authorized person on behalf of your Institution/Company in the places provided, and RETURN THE ENTIRE AGREEMENT by mail or fax to:

Laboratory of Computer Science
Massachusetts General Hospital
50 Staniford St., 7th Floor
Boston, MA 02114
fax: 617-726-8481

E-mail submission is not acceptable.

Upon receipt of the signed agreement, we will arrange for the access codes and instructions to be sent to you.


Read, Accepted and Agreed to by (all fields MUST be completed):

For:__________________________________________________
(Name of Institution/Company)

Contact Name (print / type clearly):________________________________________

Contact Signature:_______________________________________________________

Contact Title:____________________email: print / type) ______________________

Telephone: _____________________________Date: ______________________________

Address: __________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

By:____________________________________Title: ______________________________
(Name / Title of Institutional Officer-print / type clearly)

Signature of Institutional Officer:________________________________________

IP Address(es) for institutional access:___________________________________

Type of Institution: [ ] Medical School [ ] Hospital [ ] Hospital Consortium [ ] Health Network [ ] Other:_________________________________________

If Hospital: Number of beds________ # Residents______ # MDs______
# Other Health Professionals________ Number of Medical Students________

If Medical School: # students enrolled_____________


10/07