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Patient Testimonial Consent Form
"I need a Patient Testimonial Consent Form for my dental practice that specifically covers both written testimonials and before/after photos, which we plan to use on our new website launching in March 2025 and in our social media marketing."
1. Patient Information: Basic details of the patient providing testimonial including name, contact information, and relevant medical context
2. Purpose Statement: Clear explanation of how the testimonial will be used, including specific platforms, audiences, and contexts
3. Consent Declaration: Express permission for use of testimonial, including acknowledgment of voluntary participation
4. Data Processing Information: Detailed explanation of how personal data will be stored, processed, and protected in compliance with UK GDPR
5. Withdrawal Rights: Clear statement of patient's right to withdraw consent at any time and process for doing so
1. Image/Video Consent: Additional specific consent for use of photographs, videos, or other visual media of the patient
2. Marketing Usage: Specific consent for use of testimonial in marketing and promotional materials
3. Time Limitation: Specific duration for which the consent remains valid, if not indefinite
1. Schedule 1 - Copy of Testimonial: Exact content of the testimonial being approved by the patient
2. Schedule 2 - Privacy Notice: Detailed information about data protection rights and privacy policies
3. Schedule 3 - Image/Media Schedule: Copies or descriptions of any photographs, videos, or other media included in the consent
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