Share Your Story

Your Story

Here are a few tips to get you started. Feel free to share anything that you feel comfortable.

• Share a little bit about you, your partner and your life.
• What brought you to HRC Fertility? How was your experience?
• What would you like to tell others who are currently going through the fertility journey?

Your Photos and Videos

About Your Treatment

Are you open to HRC sharing your story with our community and followers online? *

If you prefer to remain anonymous, we will display your name as "a happy patient".

The video testimonial could be done virtually for your safety.

Authorization and Release Information *

I understand my testimonial or in the video recorded of me (the “Testimonial”) and made on behalf of HRC Fertility & HRC Fertility Management (hereinafter called “The Business”) may be used in connection with publicizing and promoting The Business. I authorize The Business to use my name, brief biographical information, and the Testimonial as defined on this form or by me in this video.

I hereby irrevocably authorize The Business to copy, exhibit, publish or distribute the Testimonial for purposes of publicizing The Business’ programs or for any other lawful purpose. These statements may be used in printed publications, multimedia presentations, on websites or in any other distribution media. I agree that I will make no monetary or other claim against The Business for the use of the statement.

In addition, I waive any right to inspect or approve the finished product, including written copy or edited video wherein my likeness or my testimonial appears.

I hereby hold harmless and release The Business from all claims, demands and causes of action, which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

This Waiver and Release Agreement will be construed in accordance with and governed by the laws of the State of California, and it is acknowledged by the Releasor to be as broad and inclusive as permitted by the laws of this jurisdiction.