Terms and Conditions

I hereby grant and release to David Lawrence Mental Health Center, Inc. and its affiliates (Child’s Path Preschool and Encore Resale Shop) the right to use my: name, image or likeness, or narrative story without name, image or likeness for the purposes of public relations and marketing (newsletter, annual report, website, social media, advertising, other media, etc.). I hereby agree to hold harmless David Lawrence Mental Health Center, Inc. and its affiliates (Child’s Path Preschool and Encore Resale Shop) or its assigns from any actions legal or otherwise in connection with use as stated above.

I acknowledge and understand that the use of my name, image or likeness, or narrative story by David Lawrence Mental Health Center, Inc. for the above-stated purposes may result in identifying myself as a client of David Lawrence Mental Health Center, Inc., or its programs. I understand that the identity of clients of David Lawrence Mental Health Center, Inc. is confidential, and I hereby authorize release of said information in connection with the use of my name, image or likeness, or narrative story for the purposes set forth above.

I further understand that my identity is protected under the federal regulations governing Confidentiality of Alcohol and Drug Abuse Patient Records, 42 CFR Part 2, and cannot be disclosed without my written consent unless otherwise provided for in the regulations. I understand that this consent will automatically expire after five years or I have the right to revoke the use of name, images and stories at any time, except to the extent that action has been taken in reliance on it. I will provide written notice to David Lawrence Mental Health Center, Inc. and its affiliates (Child’s Path Preschool and Encore Resale Shop), at which time all attempts will be made to remove my personal information. Upon notice, client name, imagery, story will be removed immediately from David Lawrence Mental Health Center, Inc. websites and social media properties. Due to printing and production schedules, it may take up to six months to remove from printed materials, and a year to remove from annual reports.

I understand that I have the right to refuse to authorize David Lawrence Mental Health Center, Inc. and its affiliates (Child’s Path Preschool and Encore Resale Shop) to use my name, image or likeness, or narrative story, which could possibly identify me as a client of David Lawrence Mental Health Center, Inc. and its affiliates (Child’s Path Preschool and Encore Resale Shop), and that the above and its assigns are released from all legal liability that may arise from the release of this information.