- Children's Hospital Media Consent Form
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Media Consent Form

Please read our Media Consent Form carefully before agreeing to its terms. This form contains information related to the use of your story, photographs and other information you provide to Children's Hospital. By selecting the "I Agree" button below, you acknowledge that you have read, understand and agree to be bound by the terms set forth in this form.


Type of Consent*


Physical Signature in lieu of Electronic Consent