PatientConsent.doc - Patients Consent to Publication Title...

This preview shows page 1 out of 1 page.

Patient’s Consent to Publication Title of product: [insert title] Author/Developer: [insert author’s/developer’s name] Details of procedure: [insert details] [delete where not applicable] Fig. no. and caption: [insert details] [delete where not applicable] This is to state that I give my full permission for the publication, reproduction, broadcast and other use of photographs, recordings and other audio-visual material of myself (including of my face) and textual material (case histories) in all editions of the above-named product and in any other publication (including books, journals, CD-ROMs, online and internet), as well as in any advertising or promotional material for such product or publications. I declare, in consequence of granting this permission, that I have no claim on ground of breach of confidence or any other ground in any legal system against — (author’s/developer’s name) — and its agents, publishers, successors and assigns in respect of such use of the
Image of page 1
  • Spring '14
  • PatriciaG.Berman

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern