Photo and Social Media Release Form

I hereby authorize Elevate Physical Therapy and Fitness to use my photo, information, and/or video related to my experiences with Elevate Physical Therapy and Fitness. I understand this information may be used in publications, presentations, promotional material, advertising, social media, and/or similar ways.
My consent is freely given to Elevate Physical Therapy and Fitness without expecting payment. I understand that I can revoke this release at any time and that the use of my photo, information, and/or video authorized by this release will cease immediately.

Contact Us

Call Us

We will help answer all your questions. If we are not available, please leave a voice message with best time to call back.
Call (847) 447-3098

Fax Us

Fax (312) 312-9631

Email Us

Contact us through email at
info@elevateptaf.com

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