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Informed Consent To Photograph

Won-Woo Jonathan Park

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Informed Consent To Photograph

I due hereby give consent for Dr. Won-Woo Park, and OoLi Orthodontics - Tempe & OoLi Orthodontics – Phoenix to take and/or display photograph(s) of the face and teeth/smile of . The photograph will be used for educational and/or advertising purposes by OoLi Orthodontics - Tempe & OoLi Orthodontics – Phoenix and may be displayed within the office and/or on the office’s webpage, www.ooliortho.com. Dr. Won-Woo Park, and OoLi Orthodontics - Tempe & OoLi Orthodontics – Phoenix team members will protect the patient’s personal data, such as name, age, and date of birth from being displayed.

Print Name (Legal Guardian/Self):

Won-Woo Jonathan Park

Signed by: Won-Woo Jonathan Park

Signed on: July 2, 2026

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Informed Consent To Photograph

Won-Woo Jonathan Park

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Thank you for signing your document. If you need to fill out any additional documents, you can do so here: https://ooliortho.com/patient-forms/ If you've already filled out and signed what you need, there's nothing else you need to do except show up for your appointment! Congratulations! We look forward to meeting you!

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