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