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Resident Handbook Acknowledgment

Acknowledge that you have received, read, and understand the Kura Solution Resident Handbook — Transitional & Supportive Living Program.

Kura Solution

Resident Handbook Acknowledgment

Acknowledge that you have received, read, and understand the Kura Solution Resident Handbook — Transitional & Supportive Living Program.

The full handbook is available at kurasolution.com/handbook.

I acknowledge that I have received, read, and understand the Kura Solution Resident Handbook. I understand that my residency at Kura Solution is part of a transitional and supportive living program and is conditioned upon compliance with program requirements, policies, and expectations. I acknowledge that this handbook and my participation in the program do not constitute a traditional residential lease agreement.

I understand that compliance with these policies is a condition of residency.

Resident First Name *

Resident Last Name *

Resident Signature

Resident Signature *

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Resident Printed Name *

Date *

Electronic Signature ConsentI agree that the signature(s) I have provided above are my legal electronic signatures, with the same effect as a handwritten signature, under the federal E-SIGN Act (15 U.S.C. § 7001 et seq.) and applicable state law (UETA). I authorize Kura Solution to maintain this signed form as a legal record. I have had the opportunity to read and understand this form and my signature(s) are made knowingly and voluntarily.

Your submission is stored securely — you can download a signed PDF copy any time from My Submissions. Records protected under 42 CFR Part 2 & HIPAA.