By checking this box you permit and authorize St. Elizabeth Healthcare and St. Elizabeth Physicians to use any or all of the information above in current and future marketing materials. These materials may be copied and distributed by means of various media, including video presentations, television, news bulletins, mailouts, billboards or signs, brochures, placement on the St. Elizabeth Healthcare and St. Elizabeth Physicians website, or newspapers. You understand that, although St. Elizabeth Healthcare and St. Elizabeth Physicians will endeavor to use your submitted information in accordance with standards of good judgment, St. Elizabeth Healthcare and St. Elizabeth Physicians cannot guarantee that any further dissemination of submitted information will be subject to similar supervision or control. Accordingly, you release St. Elizabeth Healthcare and St. Elizabeth Physicians from any and all liability related to dissemination of your submitted information. Please note that we will not publicize or share your name, e-mail address, or phone number nor will we use them in any marketing materials.