Effective when signed · Governed by Nevada law

1. Electronic signature. My typed name below is my electronic signature under the federal E‑SIGN Act and Nevada’s Uniform Electronic Transactions Act, and it binds me the same as a handwritten signature.
2. What I’m authorizing. I authorize Boost Claims to collect the information I provide in this survey — including details about my injuries and medical treatment (“consumer health data”) — and to share and sell that information, together with my contact information, to participating law firms, attorneys, and marketing partners so they can evaluate and respond to my inquiry.
3. Consumer health data authorization. This is a health‑data sale authorization for purposes of applicable consumer health data laws (including Nevada law and Washington’s My Health My Data Act). Signing is voluntary and not required to use this website. I may revoke this authorization at any time by emailing jimmy@boostclaims.com. It expires one (1) year after signing, and I may request a copy of it. See the Consumer Health Data Privacy Policy.
4. Contact. I reaffirm my consent to be contacted as described in the Privacy Policy, using my chosen contact preference, including by autodialed calls, prerecorded messages, and text messages, even if I do not finish this survey. Reply STOP to opt out of texts.
5. Not a law firm. Boost Claims is an advertising and lead‑generation service — not a law firm and not my lawyer. No attorney–client relationship is created by this agreement or this website. Strict time limits (statutes of limitations) apply to injury claims.
6. Governing law. This agreement is governed by the laws of the State of Nevada.