Photography Release

Photography Release

Welcome to our Photography Release Form page. This form is designed to obtain your consent for the use of photographs taken during medical appointments, events, or treatments. By completing this release, you allow us to use your images for educational, promotional, or informational purposes while respecting your privacy and preferences. Your participation helps us share valuable insights and enhance our community’s understanding of our services. Thank you for supporting our efforts to promote health and wellness!

I, hereby grant permission to Young Again Cosmetic Injections to reproduce any portion of the photo images that have been taken by me, Diane Chuprun, RN, LLC. for the purpose of SELF USE and or  SELF PROMOTION publications which can include but is not limited to, books, cards, calendars, invitations and websites without any more compensation or recognition given to me. 

Furthermore, I grant creative permission to alter the photograph(s). I do NOT grant permission to resale or use the photographs in a manner that would exploit or cause malicious representation toward me or my company and associates. 

Permission granted for photographs taken on or after the signed date below. Any retraction of  permission must be given in writing and a good faith effort to remove all pictures will be made  as soon as possible. 

Any infringements of this policy may violate federal law.