DATA REQUEST

Review and complete OneHope, Inc. Data Request document as indicated – inserting purposes, descriptions and the names of individuals and entities as needed. If any modifications to the standard/approved OneHope, Inc. Data Use Agreement are needed, submit any requested modifications to OneHope, Inc. for review. The Privacy Officer will forward any recommended modifications to OneHope, Inc. Counsel as needed. After OneHope, Inc. has reviewed the submitted Data Use Request, Data Recipient will be notified if the data will be made available to them.

OneHope, Inc. will send a completed but un-executed contract, which the Data Recipient will need to complete and scan back to OneHope, Inc. Once the contract has been fully executed by both parties, the data set will be released to the Data Recipient.