Patient Testimonial Release
Thank you for choosing Wilmington Eye for your vision care! If you would like to share a testimonial of your experience, please read, fill out and submit the below information. Thank you!
-The Physicians and Staff of Wilmington Eye
I hereby grant Wilmington Eye to use my testimonial in any and all of its publications, including website entries, without payment or any other consideration.
I understand that Wilmington Eye shall be the owner of the copyright of my testimonials and is entitled to reproduce it, and/or to use the testimonial in any manner.
I release Wilmington Eye from all claims, demands, and causes of action that I have or may have by reason of this authorization.
I am at least 18 years of age and have read this release before signing below and I fully understand the contents, meaning, and impact of this release.