I hereby declare that:

I, the above-named person in this form, is the same person in the photographic image(s) (hereinafter known as "Images"), subject to this consent;

I hereby give my consent to the company to use the Images where I, the subject in the Image(s) is/are taken or included for the purpose of utilizing such for the following purposes:

By giving this consent:

I acknowledge that the company possesses images in which I am featured, and these images will be used only as per our agreed-upon terms, as indicated above and in compliance with the Inspire Health Medical Institute guidelines.

I am aware that the company will not share, disclose, lease, or sell these photographic images without my prior written consent.

I understand that I can withdraw this consent at any time, and upon doing so, the company will cease using any material containing the images covered in this agreement.

By affixing my signature to this form, I confirm my understanding and agreement with the conditions outlined above. I sign this form voluntarily and without any pressure, inducement, or misrepresentation.