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PALM BEACH DENTISTRY, P.A.! MEDIA RELEASE CONSENT I, hereby agree and give my permission for PALM BEACH DENTISTRY, P.A., and their respective dentists (hereby referred to as PALM BEACH DENTISTRY)
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The document is a media release consent form.
Patients or individuals who are participating in media activities at Palm Beach Dentistry.
The form can be filled out by providing personal information, signing and dating the consent section.
The purpose of the form is to obtain consent from patients for the use of their media (photos, videos, etc.) for promotional purposes by Palm Beach Dentistry.
Patients must provide their name, contact information, signature, and consent for the use of media.
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