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Client Testimonial Consent And Release Form May 2023 1
PDF – 429.8 KB 33 downloads

The Sleep NP LLC

Turner, ME 04282

Website: www.TheSleepNP.com

email: info@TheSleepNP.com

 

CLIENT TESTIMONIAL CONSENT AND RELEASE FORM 

Thank you for your willingness to submit a testimonial detailing the experience you’ve had working with The Sleep NP.

This testimonial will be used only for promotional purposes on one or more of pages of The Sleep NP website or in various print, electronic or other advertising or informational material.

  1. Consent, Release and Waiver. I, in my individual capacity to the extent my name or likeness is used, irrevocably grant to The Sleep NP, its subsidiaries, affiliates, successors and those acting with its authority (all of the foregoing parties collectively referred to as the “Company”), with respect to all elements of my testimonial including all text, names, likenesses, artwork, images, logo, trademark or trade name (collectively, my “Testimonial”); all copyrights and derivative rights in my Testimonial and a non-exclusive, perpetual right to use, publish, re-publish or reproduce my Testimonial by any means the Company sees fit for the limited promotional purpose stated above. I irrevocably waive any claim against the Company, including but not limited to disclosure of information that would otherwise be subject to health privacy laws, relating to the use of my Testimonial and promise not to bring any such claim or action in the future. I also waive any right to inspect, modify, approve or disapprove the layout, presentation or other aspect of my Testimonial after I submit it to the Company and understand that the Testimonial will be the property of the Company.
  2. Representations. In giving my Testimonial I represent and that (i) I am the owner or an authorized representative of my person or business and that I have the power and authority to grant this consent and release, and (ii) my Testimonial or any related materials will not violate the rights of any third party or give rise to any claim that another party’s rights have been or will be violated as a result of the Company’s use or publication of my Testimonial. I understand and agree that I will be liable to the Company for any damage or cost (including reasonable attorney fees) it may suffer arising out of its use of my Testimonial. I also understand that the Company is not obligated to publish my Testimonial and that if it does, I will not be receiving royalties from the Company.
  3. Miscellaneous. This Consent and Release is the entire agreement between me and the Company regarding my Testimonial, and it supersedes any previous written or oral communications, and it may not be changed in the future without both the Company and me agreeing to the change in writing. If any part of this Consent and Release is found to be invalid, that invalidity shall not affect the remainder of this Release and Consent. This Release and Consent shall be governed by the laws of Maine, and I consent to exclusive personal jurisdiction and venue in the county of Androscoggin County.

 

Electronically signed,

Books coming soon

I See You: Closing The Gap On Sleep Apnea

Helping people feel better and do better starts with exploring the question "Could I have sleep apnea?" 

Obstructive sleep apnea (OSA) is everywhere and yet a lot of sufferers remain in the dark as to what is going on with their bodies after lights out. Even scarier are the health consequences, distress, and misery for those affected and the ones around them. 

I See You is for adults wondering "could I (or you) have sleep apnea?" It walks the reader through: 

  • The costs of untreated sleep apnea
  • What is sleep apnea
  • Sleep apnea's friends and known associates
  • Sleep apnea's connection to shortness of breath
  • Testing options for sleep apnea
  • Making sense of sleep test results
  • Treatment options for sleep apnea
  • Self assessment tools

 

This book is all of the things I wish my Sleep and Pulmonology patients knew about sleep apnea, sleep testing, and sleep apnea therapies before getting to their healthcare appointment.   ~Carrissa Hankins, MSN, APRN, FNP-C

I Hear You: From CPAP Struggle to Success

Arriving at a sleep apnea diagnosis is like winning a battle. Successfully treating sleep apnea is more like fighting in a war. It's not a one time attempt. Nor do we always realize when we have arrived at victory. 

 

I Hear You, is for adults contemplating CPAP therapy or adults struggling with their CPAP therapy. It walks readers through

  • The interplay between motivation and details when it comes to CPAP
  • Inviting your healthcare team into your struggles and victories
  • Why claustrophobia is not always a CPAP deal breaker
  • The different types of CPAP and what their jobs are
  • How to choose a mask (when you have no idea what to pick)
  • Why there should be no "helicopters" in the bedroom (and what to do if you find one)
  • The dirty truth about CPAP cleaning
  • What the numbers on a CPAP machine report mean
  • And much more. 

 

I use the information in this book on a daily basis with my sleep apnea and respiratory failure clinic patients. They speak. I listen. And together we figure out the best way forward. Regardless of which side of the exam table you find yourself on (patient or healthcare provider), if you want to have a better understanding of what goes wrong with CPAP (and how to fix it), this book is for you. ~Carrissa Hankins, MSN, APRN, FNP-C

Interested in book updates? Questions? Comments?