Social Media Content Upload

Social Media Content Upload

Use the portal to upload all photos and content to the social media team, quickly and easily!
Staff Name Submitting this Content*

First NameLast Name
Facility / Business Unit*
Type of Content*
Patient Name
Clinical Background of this Patient Story/Special Post (what are they here for, etc.)*
Select photos or video file(s) to Upload to Social Media Team*

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Does upload require a "Marketing Release Form" or need to upload a "BPT Stories Form"?

No patient release form needed (Staff pic, etc.)Complete ELECTRONIC "Marketing Release Form" Now (Patient must E-Sign Now)Upload "Marketing Release Form" completed on PaperUpload "BPT Stories / Release Form" completed on Paper
Electronic "Marketing Release"
Please have the PATIENT E-SIGN BELOW
By signing below, you hereby transfer and assign to O&W Enterprises, Inc. d.b.a. Bassett Physical Therapy, the exclusive right to use and to authorize others to use all or any part of your written testimonial, image or interview (as recorded on photographic means, videotape, audiotape, or in other electronic formats) in advertising, social media or related media such as books,magazines, journals, pamphlets, and other written, video, and/or computer formats.

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PATIENT ELECTRONIC SIGNATURE
Upload "Marketing Release" / Patient Story Form
You personally attest that a "Marketing Release Form" or "BPT Stories Form" has been obtained and signed by the patient for this content.*

Yes
BPT Story Form / Marketing Release

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