• Making Parenthood Possible

  • Making Parenthood Possible for International Guests

  • Join us for a free seminar

  • Setting the global standards in reproductive care.

  • Making Parenthood Possible

Thank you for your RSVP!

We look forward to seeing you very soon and would appreciate if you would complete the Photo/Video Release Form.

General Photography & Videography Release Form

http://fertilitycenterlv.com/patient-services/online-forms/general-photography-videography-release-form/
  • General Marketing Release

    I hereby irrevocably consent to and authorize the use, modification, distribution, reproduction, and publication by The Fertility Center of Las Vegas and/or anyone authorized by The Fertility Center of Las Vegas of any and all images, voice recordings and/or video (in whole or in part and into any medium), which have been obtained of me and/or my family including my children for any purpose for all perpetuity and for no compensation or consideration. As such, I/We agree to hold The Fertility Center of Las Vegas and its officers and employees free and harmless from any and all liability arising out of the use of this photograph, image, audio, video, or written review, testimonial, thank you note, survey and/or letter and subsequent publication or broadcasting. I also hereby release, discharge, and agree to save the practice, the doctor(s) and staff from any liability for any misstatements, typographical errors, grammatical errors or misspellings, whether intentional or otherwise, that may occur or be produced in the creation of said reviews, surveys, testimonials, comments, thank you notes and/or letters created by the patient named below, or in any processing needed for the completion of the finished product. I agree I am at least 18 years of age and release any and all claims which I have or may have for infringement of copyright, invasion of privacy, liability or defamation, breach of contract, or any other cause of action arising out of production, distribution, broadcast, publication, or exhibition of any other use of my interview. This agreement is effective until The Fertility Center of Las Vegas has received written notification otherwise and will include all immediate family members (partner/spouse and children) unless specifically named below.
  • Please use the "+" button to add additional lines.
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  • Please use your mouse on your desktop/laptop or a stylus/finger on your tablet.

  • This agreement is effective until The Fertility Center of Las Vegas has received written notification otherwise.

For more information or to get started on your journey today, contact us online or give us a call at +1 (702) 254-1777.
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Contact Us

Call Us Toll Free
+1 (800) 509-7174

Summerlin Campus
8851 W. Sahara Avenue Suite 100
Las Vegas, NV 89117

Henderson Campus
2769 Sunridge Heights Parkway Suite 100
Henderson, NV 89052

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