Non Patient Consent

Release for the Use and Disclosure of Images, Voice and/or Written Testimonials

I, *, give Vail Health and its authorized agents permission to record my testimonial, image and/or voice and grant Vail Health all rights to use these testimonials, recordings, or photographs in any format or medium for educational, promotional, advertising, or other purposes that support the mission of the hospital.

This authorization extends to video (live streaming, videos hosted on various websites or social platforms, television, etc.), audio (radio, live streaming, podcasts, etc.) and print (advertising, press releases, collateral materials, etc.).

I understand that I am a volunteer and that I will not be compensated or paid for granting Vail Health the right to use my testimonials, images and/or voice.

I understand that Vail Health owns and controls all testimonials, images, videos, and recordings and authorize Vail Health to use the footage however deemed appropriate, including both internal and external advertising and marketing purposes.

I waive all claims I may have against Vail Health and its authorized agents relating to this release and my testimonial, images and/or voice.

If signed by Parent/Guardian/Personal Representative:

The below signed parent or legal guardian of (), a child or disabled adult, hereby consents to and gives permission to the above on behalf of such minor child or disabled adult.