Your story is private, protected, and entirely yours to share. This takes about 3 minutes.
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Your story
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Authorization
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Sign & send
My NURU Experience
Share what you'd like others to know. There's no right or wrong way to do this.
★★★★★
Please select a star rating.
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Please share at least a sentence or two.
HIPAA Authorization
Federal law requires your written consent before we use your words publicly. Please read each item.
What you're authorizing
You're giving Nuru Health permission to use the testimonial you wrote, in your own words, for marketing and educational purposes, including our website and social media. You are not disclosing medical records or clinical details unless you chose to include them yourself above.
Please check all four boxes to continue.
Sign with your initials
Your initials and age serve as your electronic signature on this HIPAA authorization.
First initial, middle initial (if applicable), last initial.
Signature preview will appear here
Please enter your initials and age.
How should we credit you?
You decide what appears publicly, if anything at all.
Show my nameYour name or initials will appear with your testimonial.
A brief descriptor, no identifying health details.
We'll send you a copy of this authorization for your records.
Please enter a valid email address.
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Thank you for sharing.
Your testimonial has been received by the Nuru Health team. A copy of your authorization is on its way to your inbox.