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Patient Photo Release Form
"I need a Patient Photo Release Form for our dermatology clinic in Singapore that specifically allows us to use before/after treatment photos for both patient records and marketing materials, with extra privacy provisions for facial images."
1. Patient Information: Basic details of the patient including name, NRIC/passport number, and contact information
2. Purpose of Photography: Clear statement of why photographs are being taken and their intended use
3. Scope of Consent: Specific details about what is being consented to, including types of photos and usage rights
4. Duration of Consent: Time period for which the consent remains valid
5. Privacy Protection Measures: Description of how patient privacy will be maintained
1. Commercial Usage Rights: Additional provisions when photos might be used for marketing or commercial purposes
2. Research Usage: Specific provisions for use in medical research and academic publications
3. Educational Usage: Provisions for using photos in medical education and training materials
1. Photo Schedule: List or description of specific photos taken and covered by the release
2. Usage Guidelines: Detailed guidelines for how the photos may be used and displayed
3. Privacy Policy Reference: Copy of or reference to the institution's privacy policy
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