Heart of Care
a real-life storybook
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The Ninety-Nine Retreat, LLC

dba Heart of Care Full Spectrum Community Treatment Service

Photo, Story & Media Release

Your story is yours. If you'd like to share it with us — for a blog post, a social media testimonial, a print flyer, or a video — please tell us exactly what you're comfortable with. You can revoke this at any time.

I grant Heart of Care Full Spectrum CTS permission to use my likeness (photo, video, or voice) and/or my story (written or spoken) for the purposes I check below. I understand: • I am not being paid for this and I am not required to sign this form. • I may withdraw permission for future use at any time by emailing hello@heart-of-care.life. Heart of Care will make reasonable efforts to remove content from its own site and social channels; already-printed materials or already-shared social posts may take longer or be impossible to fully retrieve. • Heart of Care will not sell my likeness or story to a third party. • If I ask for it, my name will be replaced with initials, a pseudonym, or "anonymous."
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