Raise Your 5 – Terms and Conditions

Date: September 22, 2016

Thank you for visiting the Raise Your 5 campaign website, and sharing your story. A submission does not guarantee your story will be published to the website. All stories submitted to the campaign will be reviewed by Biotheranostics, prior to being published on the website.

By agreeing to these Terms & Conditions, I am hereby consenting to allow Biotheranostics, Inc. with offices at 9640 Towne Centre Drive, Suite 200, San Diego, CA 92121 (the “Company”), to obtain my testimonial, or photograph and to use, reproduce, or distribute and disclose the information and my likeness in such testimonial, or photograph (“Personal Materials”) and acknowledge that such Personal Materials may be distributed to the public for legitimate business purposes related to the Raise Your 5 initiative including, but not limited to, advertising, promotions, marketing, education and press coverage in any media format, including on the Company’s website, print, digital or electronic. I understand that I am neither entitled to compensation for use of any of these Personal Materials by the Company nor to input concerning their use. I understand that any written information I provide may be edited. I am voluntarily providing the above mentioned Personal Materials which may contain personal information related to my health or medical condition. I understand that if I mention someone other than myself in my Personal Materials, it is my responsibility to obtain permission granted by that person or the person’s legal guardian/executor (if deceased) prior to submission. It is assumed that all parties mentioned in your submission have agreed to be a part of the campaign.

I understand that I am providing one or more of these Personal Materials to the Company and/or permitting them to be obtained from me, and that none of my protected health information (“PHI”) obtained from the Company or from my treating healthcare provider will be provided to the media or the public, including PHI in my medical records, the confidentiality of which may be protected by federal and state statutes and regulations, including the Health Insurance Portability and Accountability Act (HIPAA).

I waive the right of prior approval and hereby release the Company from any and all claims for damages of any kind based on the use of my testimonial or information in the testimonial (and/or photographic likeness). By agreeing to these Terms & Conditions below I agree and acknowledge that I have read and understood the above Release and agree to all terms described and freely sign this Consent for obtaining, use and publication of any such Personal Materials obtained from me.

If and when your story is published, Biotheranostics will contact you via the email address provided to alert you that your story has been published on the Raise Your 5 website. By submitting your story and agreeing to these terms and conditions, you agree to have your name and likeness appear on the Raise Your 5 website for 1 year. Biotheranostics will not use your name, likeness or story for any other purposes outside of the Raise Your 5 campaign website.

Note:  The Company will not be making any charitable donations on behalf of any physician or treating healthcare professional who submits a story or testimonial