Photograph Consent and Release
We take a profile picture and also take photos of you for our or parts of your body before and after procedure as part of your medical records. surgery. The photographs will be taken by one of the members of the Elite Medical staff.
Medical Care: Photographs, clips and videos taken of me or parts of my body can be used for the purpose of personal profile, my medical care with Elite Medical Specialty Clinic, The photographs and all details regarding medical services rendered to me will be kept within my personal medical history file at Elite Medical Specialty Clinic.
By signing this form, I acknowledge my consent as initialed above, and I further recognize that this consent form will supersede any other photo consent forms with a date prior to the date written.
In some cases we may want to use your photos on our website or our social medical. But If we plan to use your photos for social media and our website then we will ask for your permission.