The document contains multiple copies of a permission form for Newvision Dental Laboratory. It asks the patient to give permission for Newvision to upload their photos to social media and internal publications, publish any comments, and add the permission form to the patient's profile file. Space is provided for additional notes.

1. Crown & bridge work:
VMK/PFM
&
BruxZir crowns

2. I hereby give Newvision Dental Laboratory permission to:
 Upload my photos to their facebook page & website.
 Add my photos to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

3. I hereby give Newvision Dental Laboratory permission to:
 Upload my photos to their facebook page & website.
 Add my photos to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

4. I hereby give Newvision Dental Laboratory permission to:
 Upload my photos to their facebook page & website.
 Add my photos to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

5. I hereby give Newvision Dental Laboratory permission to:
 Upload my photo’s to their facebook page & website.
 Add my photo’s to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

6. I hereby give Newvision Dental Laboratory permission to:
 Upload my photo’s to their facebook page & website.
 Add my photo’s to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
Notes:_________________________________

7. I hereby give Newvision Dental Laboratory permission to:
 Upload my photo’s to their facebook page & website.
 Add my photo’s to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

8. I hereby give Newvision Dental Laboratory permission to:
 Upload my photo’s to their facebook page & website.
 Add my photo’s to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

9. I hereby give Newvision Dental Laboratory permission to:
 Upload my photos to their facebook page & website.
 Add my photo’s to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

10. I hereby give Newvision Dental Laboratory permission to:
 Upload my photo’s to their facebook page & website.
 Add my photo’s to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

11. I hereby give Newvision Dental Laboratory permission to:
 Upload my photo’s to their facebook page & website.
 Add my photo’s to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.

12. I hereby give Newvision Dental Laboratory permission to:
 Upload my photos to their facebook page & website.
 Add my photos to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

13. I hereby give Newvision Dental Laboratory permission to:
 Upload my photos to their facebook page & website.
 Add my photos to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

14. I hereby give Newvision Dental Laboratory permission to:
 Upload my photos to their facebook page & website.
 Add my photos to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

15. I hereby give Newvision Dental Laboratory permission to:
 Upload my photos to their facebook page & website.
 Add my photos to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

16. I hereby give Newvision Dental Laboratory permission to:
 Upload my photos to their facebook page & website.
 Add my photos to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________

17. I hereby give Newvision Dental Laboratory permission to:
 Upload my photos to their facebook page & website.
 Add my photos to their news letter to the dentists.
 Publish any comments made by me.
 Add this page to their work profile file.
 Notes:______________________________________________