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I authorize CHRISTUS Health to distribute, publish, reproduce, edit, exhibit, and display, through any form of media (print, digital, electronic, social, broadcast or otherwise), images of me, including video and audio recordings, that have been taken or recorded at the request of CHRISTUS for non-treatment related purposed or that I have provided to CHRISTUS.

I understand and agree that these Materials will become property of CHRISTUS and may be used for any purpose that CHRISTUS, in its sole discretion, deems appropriate. I understand that this release is indefinite and irrevocable.

I agree to hold harmless and forever release CHRISTUS, its officers, representatives, employees, and agents from any liability connected with or arising out of the use of Materials.

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