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  • I relieve and agree not to hold Restorative Therapies, Inc. liable for the interviewing and photographing, and subsequent publication or broadcasting. I understand that the interviews and photographs are being carried out with my consent and I assume responsibility for my consent.

    Any questions about this consent form may be directed to:

    Restorative Therapies, Inc.
    8098 Sandpiper Circle, Suite M, Nottingham, MD 21236
    Phone: 800-609-9166
    Email: marketing@restorative-therapies.com

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