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Photo & Video Release Form

Please read the terms and conditions and fill out the below form to submit your images and videos of your nurse managers!

First Name

Last Name

Hospital / Organization

Street Address

City

State

Zip Code

Media Contact (name & email)

Image Credit / Names and titles

Upload Photos

25 MB size limit

Upload Videos

4GB Size Limit

I hereby give my consent to use my photographs and videos according to the View terms of use

Thanks for Submitting

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