IPCRG Image submission and consent

IPCRG Image submission and consent
Name*

First NameFamily Name
Email*
example@example.com
We want to provide images that can be used by healthcare professionals, journalists and others who can influence public and professional knowledge about respiratory (breathing) diseases to illustrate:

1. The correct use of medicines and devices such as inhalers and spacers

2. The range of people in the world who live with respiratory diseases

3. The type of person or organisation who is most likely to deliver respiratory care.
Upload your image(s) here*

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Please confirm your relationship to the uploaded image(s) - choose all that apply*

PhotographerSubjectParent or carer of subject if subject is under 18Other
This consent covers any and all people featured in the submission and assumes you have shared this consent agreement with them (and their parent or carer in the case of an image of a child) and they are also consenting to this agreement.
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Parent/Carer Signature (if required)
Parent/Carer Name

First NameFamily Name
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