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I hereby authorize my testimonial to be used for testimonial advertisement in Farbod Malek, MD’s promotional material, including Farbod Malek, MD’s website, brochures, and advertisements. I waive the right of prior approval and hereby release and discharge Farbod Malek, MD and all persons acting under the permission and authority of Farbod Malek, MD from liability, damages, compensation or actions of any kind based on the use of my testimonial or information in the testimonial.

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