By sharing your story, you are acknowledging you are over 18 years old and you are voluntarily providing this information and granting permission for someone from CareQuest Institute (or designated by CareQuest Institute) to contact you.
I am providing this story voluntarily with the knowledge that the information may be used on carequest.org and other CareQuest Institute’s communication and media channels. 2. The information I submit may be used for commercial purposes, marketing, publicizing, and/or otherwise promoting CareQuest Institute andits affiliates. 3. I represent and warrant that all information submitted is truthful and accurate. 4. I represent that I have not directly or indirectly knowingly disparaged third parties in my submission. 5. I represent and warrant that I have the authority to provide the information to CareQuest Institute and that no one else owns or has superior rights to this information. 6. I waive any right to royalties or other compensation for CareQuest Institute’s use and dissemination of any information or stories provided by me. 7. I understand I will not receive any monetary or other compensation for my participation and/or the use of the information I submitted. 8. I assign all rights, including copyright, to the information and story to CareQuest Institute. 9. I waive and release CareQuest Institute from any and all claims that I may have against CareQuest Institute and/or its officers, directors, employees, agents, or affiliates arising out of its use or dissemination of this information including but not limited to how this information may be edited, displayed, produced or reproduced, 10. Subject to HIPAA Authorization, I grant CareQuest Institute use of my name, image, voice, endorsement, signature, biographical data and/or likeness in connection with the distribution, advertising, publicity and promotion of the submission in all media, whether now known or hereafter devised without restriction. 11. I understand and agree that I may not use this site to conduct any activity that is illegal or that violates the rights or others. 12. These terms and conditions are governed by Massachusetts law.