US WorldMeds, LLC Consent, Authorization and Release

Definitions:

USWM means USWorldMeds, LLC and its affiliated entities and officers, directors, employees, agents, and other persons and entities they authorize.

I hereby give my consent for USWM to Use my Testimonial for the Purpose and within the Scope set forth in this release. I, generally, fully and forever release, indemnify and discharge USWM from any and all causes of action, claims, demands, liabilities and obligations of any kind, whether known or unknown, arising out of or relating to the Use of my Testimonial within the Scope and including any claims for compensation or royalties now or in the future related to such Testimonials. I agree that my full consideration for submitting such Testimonial is merely my willingness to help USWM with its Purpose. I waive any request to inspect, approve, disapprove, or request changes to, any of the Testimonials. I understand that if Testimonials are posted on a Web site by USWM or by someone else, then they might be downloaded and posted or used elsewhere without USWM's control or permission and agree that USWM shall have no liability for such actions. I understand that nothing in this consent obligates USWM to Use the Testimonials in any particular Scope, or at all, and that if USWM does Use the Testimonials, USWM may change or discontinue such Use at any time for any reason. I understand and agree that copyright and all other rights to the Testimonials belong to USWM alone unless otherwise required by applicable law.

I understand that I may revoke this Consent, Authorization and Release at any time by notifying USWM in writing, except to the extent that action has been taken in reliance on it. Unless I revoke this authorization, it will expire twenty years from the date of this form submission.