I acknowledge that photo documentation is an essential aspect of the practice of plastic surgery. Accordingly, I hereby give my consent to New Image Plastic Surgery taking photographs and/or video documentation of me or the involved parts of my face or body, and of the procedures being performed. These photos / videos will be part of the medical record at New Image Plastic Surgery. I understand that these photographs may be shown on a confidential basis to other patients in the practice who are considering the same type of procedures.
If, in the judgment of Dr. Homas, medical research, education, or science will be benefited by their use, such photographs and information relating to my case may be published and republished in medical journals or books or used for any other purpose in the interest of medical education, knowledge or research.
In addition to medical records and scientific pursuits, public education about plastic surgery procedures is greatly enhanced through the use of visual images. Photos / video footage of your case may help others understand and feel comfortable with a procedure akin to yours.
It is specifically understood that I will not be identified by name or other personally identifying information in any forum other than my medical record at New Image Plastic Surgery. We zoom into the specific area(s) we want to show case and crop out as much as needed for the patient not to be identified.