Submit Your Testimonial

Share

Submit your GRHS experience and your story could be included on our testimonials page and more. Only first name, last initial and city will be used.

Download and print the Share Your Experience (PDF) or complete the form below.

    PERMISSION You hereby grant Glacial Ridge Health System (“GRHS”) permission and limited license to use and reproduce your testimonial(s) (“Testimonial”) in whole or in part on its associated World Wide Web site, www.glacialridge.org (“GRHS’ Web site”) or third party hosted websites (“Site(s)”), on GRHS social media sites, or in other official GRHS printed publications without further consideration. You agree and grant permission to GRHS to retouch, edit, or summarize Testimonial for display, or otherwise create derivative works from Testimonial for display. GRHS shall use such Testimonial only for its Share Your Story communication purposes. You represent that your Testimonial is your original work. Your Testimonial may be used by GRHS to provide basic content for an advertisement campaign. Testimonials may be rejected or approved for posting on the Sites. Further, Testimonials may be removed from Sites at any time and for any reason at GRHS’ sole discretion. You acknowledge that GRHS may elect not to use Individual’s Testimonial at this time, but may do so at its own discretion at a later date.

    You grant GRHS the option to contact you for GRHS advertisement campaigns. You also agree to provide GRHS with your full name, address and phone number for GRHS internal uses only. Only your first name, last initial, and geographic location (city, state) shall be posted with your testimonials on the Sites.

    LIMITATION OF LIABILITY You hereby release Glacial Ridge Health System, or any of its employees or agents from all liability, including any claims for libel or invasion of privacy, directly or indirectly connected with, arising out of, or resulting from, the authorized use of this testimonial.

    GENERAL You further understand that this consent is subject to revocation by you at any time in writing to the Marketing/Communications Manager except to the extent that action has already been taken to release this information. Glacial Ridge Health System will not refuse to treat you based on whether you agree to allow your testimonial to be used or disclosed.