AUTHORIZATION OF RELEASE TO NEWS OR OTHER MEDIA AND TO THE GENERAL PUBLIC FOR FACULTY, STAFF, AND STUDENTS
I hereby grant permission for my statements, photographs, and/or video recordings to be captured by Positive Health Management – Wyckoff Heights Medical Center (and/or its agents) for the purpose of publicizing and promoting marketing or advertising initiatives related to Positive Health Management, Wyckoff Heights Medical Center.
I acknowledge that my name may be associated with the materials in question when used publicly. I am aware that my statements, photographs, and/or video recordings may be published across various media platforms, including television, print, digital, social media, and other forms of media. I understand that neither Positive Health Management nor I will receive any direct or indirect compensation as a result of this authorization. By signing below, I agree to the terms stated above:
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By clicking "Accept" above, you hereby grant permission for Positive Health Management – Wyckoff Heights Medical Center (and/or its agents) to contact you via text messages, phone calls, or emails. This communication may include invitations to new events, educational materials, and community outreach activities. By accepting these terms and conditions, you acknowledge and consent to being contacted by Positive Health Management – Wyckoff Heights Medical Center (and/or its agents) for the purposes stated above. Please note that you may opt-out of receiving communications from Positive Health Management – Wyckoff Heights Medical Center (and/or its agents) at any time by following the instructions provided in each communication. Click "Accept" to agree to these terms and conditions.
