CONSENT TO PHOTOGRAPH. I understand photographs, videotapes, digital and/or other images may be made/recorded for identification, treatment and payment purposes. I will specifically authorize in writing any other use or disclosure of my image or recording.
CONSENT TO PHOTOGRAPH. I understand that photographs, video, or other images may be taken to document my care, for patient identification, and/or as part of the education process for residents and nurses.
CONSENT TO PHOTOGRAPH. I understand that photographs, videotapes, digital, and other images may be recorded to document and assist with my care. These images may be used to assist in the education of students and residents within the institution. I understand that the Health Science Center will own these images, but that I will be allowed access to view them or to obtain copies of them at a reasonable cost. Other than for treatment and education purposes, images that identify me will be released and/or used outside the organization only upon written authorization from me or the patient representative.
CONSENT TO PHOTOGRAPH. FGCU reserves the right to give its consent to all pictures which are of FGCU property or which identify FGCU, its Facility or any other property of FGCU. TEAM must secure the appropriate consent for use of pictures of minors who participate in SunChase.
CONSENT TO PHOTOGRAPH. The resident agrees to allow the Facility to photograph, or for the Facility to permit other persons to photograph or videotape the resident while under the care of the above Facility, and agrees that they may use the negative, prints or tapes prepared there from for such purposes as activity programs, identification, medical purposes, and/or Facility public relations, unless I notify the Facility that I do not want to participate.
CONSENT TO PHOTOGRAPH. I hereby consent to be photographed while receiving treatment at Community Health Partners (CHP) Practices. I understand that the images form such photography may be used for my treatment or for hospital health care operations such as peer review or medical education, as the hospital or my treating provider(s) deem appropriate. The use of such images is subject only to the following limitations: The term “photograph” as used herein includes video or still photography, in digital or any other format, and any other means of recording or reproducing images.
CONSENT TO PHOTOGRAPH. I understand that photographs will be taken to document and assist with my care. I understand that UBHC will own these images, but that I will be allowed access to view them or to obtain copies of them at a reasonable cost. Images that identify me will be released and/or used outside the organization only upon written authorization from me or the patient representative.
CONSENT TO PHOTOGRAPH. Children’s photos and first names may be displayed throughout the school/church, newsletters and website.
