Thank you for sharing your experience and helping to educate, inspire, and encourage others who may face similar experiences. We’re proud to be a part of your journey, and honored to publish your story.
I understand that my treatment at TCO will not be affected by my decision to sign or not sign this authorization. The publications or advertising materials may include printed or electronic publications, websites (including, without limitation, TCO’s website), or other electronic communications. I waive the right to inspect or approve the finished product, including printed or electronic copy that includes my testimonial. I waive any right to royalties or other compensation arising from or related to the use of my testimonial.
I understand that I can revoke this authorization at any time by sending a written request to TCO. If I revoke this authorization, my testimonial will not be used or disclosed as described in this authorization, except to the extent that my authorization has been relied upon (for example, if my testimonial is already being used in an ongoing advertising campaign). I understand that when information is disclosed pursuant to this authorization, the information may no longer be protected by federal or state privacy rules and may be subject to redisclosure by the recipient of the information.