I______________________________________ consent to the Diabetes Asia Journal published by JHRC using images and relevant information from my treatment. I understand these may be published by the Journal or its authorized parties in print, visual, electronic, or broadcast media, including medical journals, textbooks, scientific presentations, teaching courses, and internet websites. The purpose is to inform the medical community or public about surgical techniques, outcomes, issues, trends, concerns, and related topics.

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• I am voluntarily providing this consent for public education and confirm that I have read and fully understand the terms above.
• I confirm that I am over 18 years of age and capable of entering into contracts in my own name

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