Digital Library Presenter Agreement & Consent Form

The American Academy of Cosmetic Surgery Inc. (AACS) is an Illinois nonprofit corporation whose mission is to foster, promote, support, and develop the science, art, and practice of cosmetic surgery (“Exempt Purpose”). In furtherance of its Exempt Purpose, the AACS endeavors to provide educational programs related to cosmetic surgery, which reflect the applicable standards of care and best practices.

First Name *

Last Name *

Credentials (MD, DO, etc.)

Email address *

Video Presentation Title *

Date video was recorded *

Month

Day

Year

I hereby request and consent to participate as a faculty member in one or several of the AACS 2022 Educational Activities (“video”) sponsored by the AACS. *

I AGREE TO THE FOLLOWING STATEMENTS:

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