I consent for photographs and/or video images to be taken of me by Anodyne Pain & Wellness Solutions of Central Ohio or a representative. These images or clips may be shared with staff, other physicians or healthcare professionals, and members of the public for educational or marketing purposes.
By consenting to photographs and/or video images I understand I will not be compensated from any party. I acknowledge that my participation is voluntary and agree that use of any photographs and/or video images confers no rights of ownership or royalties whatsoever.
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