Patient Testimonial Consent and Release Form

$25.00

SKU: 2004 Categories: ,

Patient Testimonial Consent and Release Form

 

  • You allow [Company] to use your testimonials for promotional purposes.
  • Testimonials include your personal statement, case summary, name, photo, and location.
  • Usage can be on their website, publications, and other media.
  • You confirm you are 18 or older.
  • This does not breach patient confidentiality.
  • You can review advertisements before release.
  • You can request removal of your testimonial at any time.

Patient Testimonial Consent and Release Form

 

  • You allow [Company] to use your testimonials for promotional purposes.
  • Testimonials include your personal statement, case summary, name, photo, and location.
  • Usage can be on their website, publications, and other media.
  • You confirm you are 18 or older.
  • This does not breach patient confidentiality.
  • You can review advertisements before release.
  • You can request removal of your testimonial at any time.