SHARE YOUR STORY

At Cornerstone Clinic for Women, we see all life as precious and awe-inspiring, and we love to hear stories of lives that have changed, or began, at our clinic. We would love to celebrate the life of our patients and their babies, whether they be newborns, infants or toddlers. Share your baby’s photos or your testimonial with us by completing the consent form below, and you may see your story on our Facebook page. If you have any questions, feel free to contact us.

The undersigned hereby grants to Cornerstone Clinic for Women permission to take photographs, motion pictures and/or videotapes ("Photographic Materials") of the below named patient and to use his or her name in connection with any such Photographic Materials:

The undersigned hereby permits Cornerstone Clinic for Women and its agents to use and distribute such Photographic Materials together with the name of the below named patient as often as desired for any lawful purpose, in accordance with applicable law. The undersigned hereby waives all rights of prior inspection or approval and releases Cornerstone Clinic for Women and its agents from any and all claims or demands that may exist on account of the lawful use, disclosure or publication of such Photographic Materials as described herein.