I hereby irrevocably grant your company the right to use all relevant documents (if
necessary), videos, photographs and/or images of me in any form for whatever purpose without
payment or any other consideration payable to me. I understand and accept that my documents,
videos, photographs or images may be edited, copied, exhibited, published and/or distributed
and I hereby waive the right to inspect or approve the finished product wherein my likeness
appears. Additionally, I waive any right to royalties or other compensation arising or
related to your use of my documents (including medical reports, X – ray reports,
verification letters from doctor and et cetera), videos, photographs or images.
I also understand that my personal information may be used for a number of purposes
including, without limitation, research and statistical analysis and marketing. In terms of
marketing, from time to time I am aware that you may send out promotional and marketing
materials about such things as great product offers or new Web Site features to users.
By signing this consent I understand this grant and consent signify that documents, videos,
photographs and/or images of me may be electronically displayed via the Internet, social
media or in the public setting.
I accept that there is no time limit on the validity of this release nor is there any
geographic limitation on where these materials may be distributed.
By signing this consent, I acknowledge that I have completely read and fully understand the
above release and agree to be bound thereby.