NICU Success Stories

By clicking this box, I authorize members of Memorial Marketing and Communications, other Memorial personnel, to make and publish photographs or videos of me (or the patient listed in question) in newspapers, magazines, other publications, television, motion pictures, Internet, or other media, which will be circulated to the general public for marketing, business, or any other purpose, or to provide access to members of the public media to do the same.

I authorize members of Memorial Marketing and Communications, and other Memorial personnel or to conduct an interview with me (or the patient in questions) and I authorize the use or disclosure of individually identifiable health information for the purpose of this interview. I understand that there is a possibility that I (or the patient) may be identifiable in these photographs, videos, or interviews although my name (or the patient’s) will not be published unless I specifically agree below.