PHOTOGRAPHY AND VIDEO CONSENTS

PHOTOGRAPHY AND VIDEO CONSENTS
SURGICAL DOCUMENTATION
I have given Dr. Red Alinsod and his Staff full consent to take photographs or videos of my surgical procedure. This includes Pre-Op, Intra-Op, and Post-Op time periods. I understand that the photographs are strictly for documenting the surgery and evaluating the results of surgery. I understand that the digital photographs will be stored securely on Dr. Red Alinsod's computers and charts with full HIPPA Regulations followed.
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EDUCATIONAL AND MARKETING USES
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I give the above mentioned Doctor full consent to use my photographs or videos for educational and marketing purposes (various media outlets such as print, CD/DVD, or internet) in an anonymous manner and with complete confidentiality. There will be no identifying marks seen or portrayed unless approved by me.I decline to have my photographs or videos used for educational or marketing purposes.
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