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The attached photo/video, as well as relevant information, to the National Hospice and Palliative Care Organization (“NHPCO”). I understand the information is being disclosed to NHPCO and its affiliates (National Hospice Foundation, Global Partners in Care, Hospice Action Network) to be used in the Moments of Life: Made Possible by Hospice campaign, educational, marketing and/or outreach activities, and that these activities may involve the creation of materials to be distributed and displayed to the general public.