MePACS Marketing

Media Consent Form

Your involvement with MePACS is valued. This media release form allows us to share your contribution by using your image, likeness, and voice in promotional materials across various media.
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The materials may be used for marketing, educational and promotional purposes including but not limited to printed publications, newsletters, posters, brochures, advertisements, banners, websites, social media, and others as required.

MePACS is committed to using these materials respectfully and professionally.

Terms and Conditions of Consent

Full Name*
Address*
Contact Number*
Email*
Date*

Terms & Conditions

By agreeing for MePACS to use the information you have given, you will consent to the use of this information without any personal compensation or remuneration.

The photographs, video, audio, and other materials shall remain the property of MePACS and Peninsula Health and there will be no restrictions on the number of times that my likeness may be used. If you have provided a testimonial, review, your first name may be provided in publication to explain who has given the information.

MePACS will not use any information in a manner that may be deemed adverse or defamatory to the person signing this form. The material will not be sold to any third parties.
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Whether you're seeking peace of mind at home or support for your workplace, MePACS is here to offer a tailored solution to meet your needs. Simply fill out the form, and we’ll provide a personalised quote based on the service that’s right for you
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MePACS acknowledges the Traditional Custodians of the lands where its Health Services are located. We acknowledge the Bunurong/Boon Wurrung people of the Kulin Nation. We pay our respects to Elders past and present.
MePACS is committed to ensuring that the needs of all individuals within our diverse community are met in an appropriate and respectful manner. We aim to provide a service that recognises and responds to individual client needs, supports and preferences.