It is recommended you print or save this Notice for future reference.
Updated October 15, 2019
Note: The terms “you” and “your” used below refer to the consenting patient or (if patient is under the age of 18) the patient’s consenting parent/legal guardian on behalf of the patient.
By selecting the “I AGREE TO MEDIA RELEASE” button, you agree to the following:
- You hereby authorize Peak Health and Performance hereafter referred to as Company, to publish photographs and/or videos taken of you and your name and likeness for use in the Company’s print, online, and video-based educational and marketing materials, as well as other Company publications.
- You hereby release and hold harmless Peak Health and Performance, its contractors, its employees, and any third parties involved from any reasonable expectation of privacy or confidentiality associated with the images specified above. You further acknowledge that your participation is voluntary and that you will not receive financial compensation of any type associated with the taking or publication of these photographs/videos or participation in Company educational and marketing materials or other Company publications.
- You acknowledge and agree that publication of said media confers no rights of ownership or royalties whatsoever. You hereby release Peak Health and Performance, its contractors, its employees, and any third parties involved in the creation or publication of educational and marketing materials, and from liability for any claims by you or any third party in connection with your participation.