I, hereby grant permission to AI Wellness Health Management, Inc., its affiliates, subsidiaries, agents, licensees, contractors, successors, and assigns (collectively, “AI Wellness”) to record, photograph, videotape, and/or interview me during my visit, participation, or appearance at the AI Wellness Center of Excellence and any associated events, including but not limited to the 90-Day Pilot Program, film recordings, Voice of Evidence Podcasts, social media interviews, and promotional productions.
I understand and agree that:
Revocation: This consent is irrevocable, worldwide, perpetual, and may only be withdrawn in writing for future unpublished use.