Headshot/Photo Use and Name Use Permission
By submitting my photo/headshot and name, I voluntarily and knowingly agree and give my consent to permit such photograph and/or my name as noted above to be used on practice websites for purposes including but not limited to testimonial patient stories.
Revoking Permission: I understand that I can revoke this permission at any time by contacting the Center for Vocal Health (CVH) by mail at the above address. However, I also understand that CVH has no control over disclosures made outside of CVH before I revoke my permission.
Release is Voluntary: I understand this permission is voluntary.
