If you are an individual physician or practitioner, just enter "Myself".
Explain what aspect of your project with which you need or desire assistance.
(Please distill your response in one or two sentences maximum.) If it involves one or more contracts, please list which contracts with which you desire assistance.
The purpose of this document is to provide a vehicle for documenting the initial planning efforts for your project. It is used to reach a satisfactory level of mutual agreement among the Project Manager, Project Owners and Sponsors and the Experts and Contractors with respect to the objectives and scope of the project before significant resources are committed and expenses incurred.
By signing below, I verify that I am the authorized representative of the below identified entity and that I have the authority to bind the entity so named.