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Total Joint Specialists — Patient Video & Media Release and Authorization

By submitting my video, photographs, statements, and story (together, the "Content") through this portal and by typing my name below, I, the person signing (“I,” “me,” or “my”), voluntarily agree to the following:

1. Grant of rights. I irrevocably grant Total Joint Specialists and its affiliated physicians, practices, surgery centers, employees, successors, and assigns (together, “TJS”) the perpetual, worldwide, royalty-free, non-exclusive, and fully transferable right and license to use, reproduce, edit, adapt, publish, display, distribute, and publicly perform the Content — including my name, voice, image, likeness, and statements — in whole or in part, in any and all media now known or later developed.
2. Permitted uses. The Content may be used for marketing, advertising, promotional, educational, and informational purposes, including on the TJS website, social media channels (such as Facebook, Instagram, YouTube, LinkedIn, and TikTok), digital and print advertising, presentations, and internal communications.
3. No compensation. I understand I will not be paid or otherwise compensated for the Content or for any use of it, now or in the future, and that TJS is not obligated to use the Content.
4. Editing. I grant TJS the right to edit, crop, caption, combine, or otherwise modify the Content and to use it alone or with other material. I waive any right to inspect or approve the finished materials.
5. My submission is voluntary and truthful. The story I provide is true and reflects my own experience. I am the person appearing in the Content, or I am the parent or legal guardian of, or am otherwise legally authorized to submit the Content on behalf of, the person appearing in it.
6. Individual results; not medical advice. I understand that my results are personal to me, that outcomes vary from patient to patient, and that my Content is not a guarantee of any result and is not medical advice.
7. Health information. I authorize TJS to use and disclose the information I choose to include in the Content (which may reference my care, condition, or treatment) for the purposes described above. I understand that once Content is shared publicly it may be viewed, copied, and re-shared by others, and that information I disclose to the public is no longer protected by privacy laws such as HIPAA. I am choosing to share it voluntarily.
8. Release of liability. I release and hold harmless TJS and its officers, employees, physicians, and agents from any and all claims arising out of the use of the Content, including claims for defamation, invasion of privacy, right of publicity, or emotional distress.
9. Revoking permission. I may ask TJS to stop future use of my Content by contacting TJS in writing. TJS will honor my request on a going-forward basis within a reasonable time, but cannot recover or remove Content that has already been published, printed, distributed, or re-shared by others.
10. Age & authority. I am at least 18 years old (or the parent/legal guardian signing for a minor) and have the full legal right to enter into this Release.
11. Entire agreement; governing law. This Release is the entire agreement regarding the Content, is binding on my heirs and assigns, and is governed by the laws of the State of Georgia.

By typing my name below, I acknowledge that I have read and understand this Release, that typing my name is my legal electronic signature, and that I agree to its terms.