For marketing use:
I hereby authorize Amerejuve staff to take photographs of the work performed both before and after
treatment. I agree that these photographs will remain the property of Amerejuve. I further authorize
the use of said photographs for the purpose of advertising, web sites, newsletters, and other marketing
materials. It is specifically understood that in any such publication or use, I shall not be identified by
name.

For educational use and scientific publications:
I hereby authorize Amerejuve staff to take photographs of the work performed both before and after
treatment. I agree that these photographs will remain the property of Amerejuve. I further authorize
Amerejuve to use these photographs for teaching purposes, to illustrate scientific papers, books, or use
in general lectures. It is specifically understood that in any such publication or use, I shall not be
identified by name.

For client chart:
I hereby authorize Amerejuve staff to take photographs of the work performed both before and after
treatment to be maintained only in my file. I agree that these photographs will remain the property of
Amerejuve.