I hereby authorize Mangrove Medical Group
to thoroughly investigate my references, work record, education and other matters related to my suitability for employment (excluding criminal background information) unless otherwise specified above. I further authorize the references I have listed to disclose to Mangrove Medical Group any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Mangrove Medical Group, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.