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The information sent through e-mail should not be relied upon as a medical consultation. This mechanism is not designed to replace a physician's independent judgment about the appropriateness or risks of a procedure for a given patient. We will do our best to provide you with information that will help you make your own healthcare decisions.
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TESTIMONIAL RELEASE CONSENT
You hereby irrevocably authorize ENT Jacksonville, Don Lerner, MD, FACS, , Jacksonville Beach, FL to copy, exhibit, publish, or distribute your testimonial for the purpose of publicizing ENT Jacksonville, Don Lerner, MD, FACS, , Jacksonville Beach, FL 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 ENT Jacksonville, Don Lerner, MD, FACS, , Jacksonville Beach, FL 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 ENT Jacksonville, Don Lerner, MD, FACS, , Jacksonville Beach, FL for the use of your testimonial, and hereby release ENT Jacksonville, Don Lerner, MD, FACS, , Jacksonville Beach, FL 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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