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30 <br /> Page 1 of 2 Tom Mercolino <br /> Volunteer Application <br /> Orange County Advisory Boards and Commissions <br /> Name: Dr. Tom Mercolino <br /> Name Called: <br /> Home Address: 613 Bayberry Drive <br /> Chapel Hill NC 27517 <br /> Phone: 919-323-9338 <br /> Email: tom.mercolino@verinetics.com <br /> Year of OC Residence: 1980 <br /> Township of Residence: Chapel Hill <br /> Zone of Residence: Chapel Hill ETJ <br /> Gender Identity: Male <br /> Ethnic Background: White <br /> Age Range: 60+ <br /> Community Activities/Organizational Memberships: <br /> I am President & CEO of Verinetics, a company headquartered in RTP. We are <br /> developing tools for making medications assisted treatment more accessible to more <br /> patients, and intend to extend the utility of these to managing high potencey opioids in <br /> pain management, and to preventing dependency/addiction. <br /> Past Service on Orange County Advisory Boards: <br /> None <br /> Boards/Commissions applied for: <br /> Opioid Advisory Committee <br /> Background, education and experience relevant to this board: <br /> I am a developer of tools for making medications assisted treatment more accessible to more <br /> patients, and intend to extend the utility of these to managing high potencey opioids in pain <br /> management, and to preventing dependency/addiction. <br /> Reasons for wanting to serve on this board: <br /> To bring a solutions providers perspective. <br /> Contribution to the diversity of viewpoints on this board: <br /> As a solution provider. <br /> Conflict of Interest: <br /> I am President& CEO of Verinetics, a company headquartered in RTP. We are developing tools <br /> for making medications assisted treatment more accessible to more patients, and intend to <br /> extend the utility of these to managing high potencey opioids in pain management, and to <br /> preventing dependency/addiction. <br /> Boards/Commissions appointments: <br /> Other Comments: <br />