NYC Psychiatrist Services, P.C, D/B/A Fermata, Brooklyn, NY
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Testimonial Release Consent
You hereby irrevocably authorize NYC Psychiatrist Services, P.C, D/B/A Fermata, Brooklyn, NY to copy, exhibit, publish, or distribute your testimonial for the purpose of publicizing NYC Psychiatrist Services, P.C, D/B/A Fermata, Brooklyn, NY services or for any other lawful purpose.
Your testimonial may be used in printed publications, multimedia presentations, on websites, or any other distribution media.
You also authorize NYC Psychiatrist Services, P.C, D/B/A Fermata, Brooklyn, NY to use your name and/or biographical information along with your testimonial and waive any right to inspect or approve the finished product, including any text or video wherein your testimonial appears.
You agree that you will not make any monetary or other claims against NYC Psychiatrist Services, P.C, D/B/A Fermata, Brooklyn, NY for the use of your testimonial, and hereby release NYC Psychiatrist Services, P.C, D/B/A Fermata, Brooklyn, NY from all claims, demands, and causes of action which you, your heirs, representatives, executors, administrators, or any other persons acting on your behalf have or may have by reason of this authorization.
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