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Dr. Kyle Petersen, Orthopedic Spine Surgery Specialist, West Palm Beach, Jupiter, Boca Raton, Wellington, Delray Beach, Palm Beach Gardens, Belle Glades, FL

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Testimonial Release Consent

You hereby irrevocably authorize Dr. Kyle Petersen, Orthopedic Spine Surgery Specialist, West Palm Beach, Jupiter, Boca Raton, Wellington, Delray Beach, Palm Beach Gardens, Belle Glades, FL to copy, exhibit, publish, or distribute your testimonial for the purpose of publicizing Dr. Kyle Petersen, Orthopedic Spine Surgery Specialist, West Palm Beach, Jupiter, Boca Raton, Wellington, Delray Beach, Palm Beach Gardens, Belle Glades, FL services or for any other lawful purpose.

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You also authorize Dr. Kyle Petersen, Orthopedic Spine Surgery Specialist, West Palm Beach, Jupiter, Boca Raton, Wellington, Delray Beach, Palm Beach Gardens, Belle Glades, FL to use your name and/or biographical information along with your testimonial and waive any right to inspect or approve the finished product, including any text or video wherein your testimonial appears.

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