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Z Med Clinic

Z Medi Clinics and Z Medi Spa

I hereby give my consent to [ZMED Clinic Providers PA, and Z MEDI SPA, LLC] associates to photograph, film, videotape and then use, for charting and office professional business use.

I also agree that those pictures or and Videos to be used for marketing purposes and may be reproduced and publish said images or vidoes of me and/or my child/children.

I agree that photographs/negatives, film, or videotapes thereof shall constitute the sole property of [ZMED Clinic Providers, and Z MEDI SPA, LLC]], with full right of disposition in any manner whatsoever, including the right to publish these pictures online.

I hereby release [ZMED Clinic Providers, and Z MEDI SPA, LLC]and his/her legal representatives and assigns from any and all claims whatsoever in connection with the use, reproduction, publication of the images thereof.

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