Personal Release Form

I hereby grant permission to The Spero Clinic, Integrated Health & Wellness Center (IH&WC) and its assigns and licensees to take photographs or videos of me, and to make recordings of my voice. I give the The Spero Clinic and TH&WC permission to use these images, videos, and recording, as well as my likeness, name and voice, as follows:

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CRPS treatment clinic patient Bria with dr.katinka