University Health System
COMMITMENT AND ACCEPTANCE FORM
Please sign and date this page in two originals as your acceptance of the Integrity Standards and the rules and regulations contained within this document. You are required to submit one original copy of this document to the Health System Procurement Services Department which they will keep on file. Please keep your original copy of this document along with the Integrity Standards and Vendor Protocol book you were provided so that you can remain informed as to the rules and regulations of doing business with University Health System that you have agreed to abide by.
If you have any question regarding the contents of the Vendor Protocol Handbook, please call the Procurement Services Department at 210-358-9125.
Signature and Date (in ink)
Name (print)
Title
Company
(Vendor Copy)