I agree to allow Fencer’s Orthotics and its authorized representatives to use gait scans, 3D scans, and other analytical methods on my own feet, or those of my child if I am their legal guardian, for the purpose of data analysis. I understand that this information is considered Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA). Fencer’s Orthotics will maintain the confidentiality and security of this information and use it solely for medical and therapeutic purposes related to my treatment. By signing this, I also release Fencer’s Orthotics from any claims, damages, or liabilities that may arise from their use of the analysis, provided that such use complies with applicable privacy laws, including HIPAA. I acknowledge that I have the right to revoke this consent in writing at any time, except to the extent that Fencer’s Orthotics has taken action in reliance on it.