Last Modified: Sep-27-2012
Modified By: Myron Winston
Icon Participant Video Release Form - 2013 Community Outreach Award

Release Thank you for participating in the video on colon cancer screening (the Program). In order to allow the American Society for Gastrointestinal Endoscopy (ASGE) to make use of the recorded Program, please execute this release and return to ________ _________ at _______________________. I, _________________

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