Consent and Release

I hereby voluntarily submit my written personal stories and experiences related to, among other things, menorrhagia (heavy menstrual bleeding) to Hologic Corporation ("Hologic") for use by Hologic, and/or any of its affiliated companies, or any of its or their agents/agencies, licensees, assignees or representatives ("collectively, with Hologic, "the Hologic Users"), for use as set forth in this Consent and Release. I agree and consent to allow the Hologic Users to use, amend, transfer, display, publish, broadcast, reproduce and/or distribute publicly or otherwise any such written submission provided by me (hereinafter collectively referred to as "Patient Testimonial") for any purpose whatsoever, including, but not limited to, educational, promotional or commercial purposes, in any medium, as determined in the sole discretion of the Hologic Users. To the best of my knowledge, the information provided in my Patient Testimonial is accurate and complete.

I understand that I will not be provided the opportunity to review, change or approve my Patient Testimonial after having submitted it. The Hologic Users may, at their sole discretion, make any changes in, additions to, or deletions from any such Patient Testimonial in their use thereof. Such alterations include, but are not limited to, cuts, edits, additions, deletions, changes, rearrangements or adaptations of the Patient Testimonial to different formats, and such other changes as deemed necessary by the Hologic Users to make the Patient Testimonial viable for use. I hereby waive any and all claims I may now or hereafter have to the Patient Testimonial.

The Hologic Users may use the Patient Testimonial worldwide and without limitation in time, without any consideration paid to me or any other person or entity.

This Consent and Release may not be changed except in writing signed by both Hologic and me.