Share your Story

Purpose of Use
I understand that the information listed above may be used by i-Health for marketing, advertising, patient education, public relations, and promotional purposes, including: websites, social media platforms, printed materials, newsletters, multimedia presentations, and other promotional or educational materials.

My Rights
I understand that:
• Signing this authorization is voluntary.
• My decision to sign or not sign will not affect my treatment, payment, health care benefits, or eligibility for services.
• I will not receive any financial payment, royalties, or compensation of any kind for the use of my image, voice, or story.
• I may revoke this authorization at any time by submitting a written request to [email protected].
• Revocation will apply only to future uses and disclosures. Materials already published or distributed before revocation may continue to be used and may not be able to be removed from public circulation.
• Information disclosed under this authorization may no longer be protected by federal or state privacy laws and may be re-disclosed by others.
•This authorization will remain in effect until I revoke it in writing.

OSI Physical Therapy is an operating division of Infinite Health Collaborative (i-Health). i-Health is a group of local medical practices, independnelty owned and led by its physicians, with operating divisions representing several areas of expertise. Visit i-Health.com to view the practices that are a part of i-Health.