2. 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 1 The Clinician’s Ten Commandments Code of Ethics - Appendix I

3. The Clinician’s Ten Commandments 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 2 I. ADDICTION IS A DISEASE Clinicians are to recognize that addiction is a disease, not a sole matter of will and should be treated accordingly. Aside from encouragement, the clinician’s primary obligation is to help patients acquire knowledge and skill in dealing with their disease. The clinician should recognize that recovery is a long and often frustrating process, which requires an extended period of time, and treatment care plans should be developed accordingly. Clinicians should also recognize that patients’ lives are dynamic and evolving, as patients face new circumstances and obstacles on a daily basis that have direct effects on their recovery.

4. The Clinician’s Ten Commandments 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 3 II. THE PATIENTS’ ROLE IN THEIR RECOVERY Clinicians acknowledge that each patient is unique, and the pace of recovery varies from one patient to another. The patient is the highest authority to their own recovery, as long as it does not compromise ethical, regulatory and clinical standards as well as the best interest of other patients and staff members. The patient should be involved in their evaluation and treatment care planning. Clinicians must remember that the patient’s commitment to their own recovery is the primary determinant to their success.

5. The Clinician’s Ten Commandments 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 4 III. KEEP IT SIMPLE AND FEASIBLE Clinicians will assist a patient’s recovery by making it a positive yet simple experience. The goals of the treatment care plan should be prioritized, should not be overly complicated, nor prescribe an excessive number of short-term goals as such treatment planning is not feasible and therefore over-whelming and self-defeating to the patient. Additionally, raising unrealistic expectations and/or hopes will only set the patient up for failure.

6. The Clinician’s Ten Commandments 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 5 IV. KNOW YOUR ROLE AS A CLINICIAN Clinicians must become professional and competent in their scope of practice. Clinicians should not stereotype patients, as this practice compromises professional ethics and the effectiveness of treatment. Clinicians should also recognize that a confrontational, authoritative and/or punitive approach almost always conflicts with professional & clinical standards and will compromise the patient’s trust and respect.

7. The Clinician’s Ten Commandments 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 6 V. EFFECTIVE TREATMENT Effective treatment is contingent upon the consistency, relevancy and immediacy of assessment, evaluation, treatment planning and provision of services. Professional assessment and evaluation must comprehensively identify all patient needs, difficulties and strengths. Treatment planning must prescribe and correspond to the assessment and ongoing evaluation of the patient, as well as incorporate and address referrals to community resources (e.g., other providers and practitioners), as needed for the patient’s overall recovery and lifestyle enhancement.

8. The Clinician’s Ten Commandments 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 7 VI. PROFESSIONAL RELATIONSHIP Clinicians should not be involved in the provision of treatment to their family members or acquaintances. They should also refrain from maintaining relationships with their patients outside of the clinical setting. Aegis maintains zero-tolerance towards other unprofessional relationships, which are based on fraternization and/or exchange of favors with patients. Clinicians also should avoid any discriminatory approach towards patients based on gender, age, religion, culture, language, disability, sexual orientation, economic condition, appearance, etc.

9. The Clinician’s Ten Commandments 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 8 VII.CREDIBILIT Clinicians should uphold their integrity, and must recognize that their credibility with their patients is an essential “vehicle” to the successful fulfillment of their duties. The trust and respect of their patients should not be compromised by engagement in any of the above- mentioned unprofessional, unethical or discriminatory conduct. Clinicians will not bad mouth or use derogatory language in the presence of their patients or colleagues, they will treat their patients and/or colleagues with respect, courtesy and fairness. Aegis has a zero-tolerance policy towards all types of harassment

10. The Clinician’s Ten Commandments 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 9 VIII.PATIENTS’ PRIVACY Clinicians should embrace the duty of protecting the privacy of patients and should not disclose confidential information to unrelated parties. Clinicians must obtain the patient’s prior written consent for the release of specific confidential information to any other third-party. Records will not be left unattended or unsecured. It is forbidden to move any records outside the facility unless formally authorized by the clinic manager or corporate officer.

11. The Clinician’s Ten Commandments 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 10 VIII.PATIENTS’ PRIVACY - Cont’ Clinicians must become proficient in regulatory, clinical and ethical standards as they pertain to patient’s confidentiality and mandated reporting. They must be aware of legitimate exceptions, which are required whenever there is clear and imminent danger to the patient or to other individuals.

12. The Clinician’s Ten Commandments 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 11 IX. INTEGRITY OF RECORD Clinicians will maintain all patient records and monthly activity logs in a clear, legible, accurate and current state. Honest reporting and recording is a “must” and should not be compromised under any circumstances. Aegis maintains zero-tolerance policy towards any practices involving “back-dating”, signing of blank documents, padding performance, fraudulent billing, etc. All patient records and activity logs should be completed in a timely manner.

13. The Clinician’s Ten Commandments 3/3/2004 Copyright 2004 Aegis Medical Systems, Inc. All rights reserved. 12 X. ORGANIZATIONAL CULTURAL Clinicians will pursue and promote Aegis’ Mission Statement, values and culture as they are formally incorporated in its policies, protocols & procedures. Clinicians recognize and value Aegis’ commitment to excellence, integrity and professionalism in the pursuit of effective and meaningful patient care. Aegis’ primary goal is the enhancement of its patients’ lifestyles, improvement of their medical, mental and socio- economical conditions as well as their successful recovery from their addictions.