Medical Documentation: I understand that photographs and/or video recordings may be taken before, during, and after medical procedures for the purpose of medical documentation, tracking progress, and evaluating treatment outcomes. These images may become a part of my medical record.
Education and Training: I consent to the use of photographs and/or video recordings for
educational and training purposes, including the training of medical professionals, students, or employees of the Practice. These images may be used in presentations, lectures, or publications.
Marketing and Promotional Materials: I agree that the Practice may use my photographs and/or video recordings for marketing and promotional materials, including but not limited to, brochures, websites (including website pictures), and other marketing efforts. These images may be used to showcase treatment results and services offered by the Practice.
Social Media: I acknowledge that "social media" refers to online platforms and websites where users can create and share content, including text, images, and videos, with the public or a specific audience. This may include platforms such as Facebook, Instagram, Twitter, and others.
Anonymous Use: I understand that the Practice will make reasonable efforts to ensure that my photographs and/or video recordings do not include any personally identifiable information, such as my full name or contact details when used for marketing or public purposes. My identity will remain anonymous when possible.
Revocation of Consent: I acknowledge that I have the right to revoke this consent at any time in writing. If I choose to revoke this consent, it will not affect any treatment provided to me by the Practice.
Special Features: If there is a special feature of my body that I wish to omit from photographs or recordings, I hereby specify the following feature(s):