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Dental Photography Consent Form
1. Practice Information: Details of the dental practice, including name, address, and contact information
2. Patient Information: Patient's full name, contact details, and identification number
3. Purpose of Photography: Clear explanation of why dental photographs are needed (treatment planning, documentation, education, etc.)
4. Types of Photographs: Description of the types of photographs that will be taken (intraoral, extraoral, full face, etc.)
5. Consent Declaration: Explicit statement of consent for taking and using the photographs
6. Data Protection Statement: Information about how photographs will be stored, protected, and handled in accordance with GDPR
7. Patient Rights: Statement of patient's rights regarding their photographs, including right to withdraw consent
8. Signatures: Space for patient (or guardian) and dental professional signatures, including date
1. Educational Use Consent: Additional consent section for use of photographs in educational settings, conferences, or publications
2. Guardian Information: Section for guardian details and consent when the patient is a minor or lacks capacity
3. Marketing Use Consent: Separate consent section for using photographs in marketing materials or social media
4. Interpreter Declaration: Section for interpreter details and confirmation when language assistance is required
1. Photo Types Appendix: Detailed list and examples of the types of photographs that may be taken
2. Usage Rights Schedule: Detailed breakdown of how photographs may be used and any restrictions
3. Privacy Policy: Detailed privacy policy regarding the handling of photographic data
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