The author(s) of the Work hereby certifies to the International Parkinson and Movement Disorder Society (MDS or the Society) that he or she has received the patient's prior written consent to release the images. This permission must explicitly authorize the use and/or disclosure of the images and must comply with any laws regarding patient authorization of the use and/or disclosure of protected health information of the jurisdiction(s) to which the patient and the physician are subject, including, if applicable, the United States Health Insurance Probability and Accountability Act of 1996 ("HIPPA").
Speakers must obtain and keep on file a signed consent form, authorizing the use of such video or related image for each patient whose images will be used and/or disclosed. If videos or other identifiable images of deceased patients are included, then written permission from an authorized party is required.
No patient identifiers (e.g., patient initials) are to be included in presentation slides, participant handouts, videotape, etc. (e.g., case reports, tables, figures, etc.).
Letter of Intent
The author(s) warrant that the Work is the original work of the author(s) and has never been published in its present form.