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Photography & Marketing Consent Form

GDPR Compliant - Before & After Images

Patient Information

Photography Consent Levels

Please indicate your consent for each level. You may consent to some and decline others.

Your Rights Under GDPR

Right to Withdraw: You may withdraw your consent at any time by contacting us in writing. We will remove your images from future marketing materials within 30 days, though we cannot remove images already downloaded by third parties or printed materials already in circulation.

Right to Access: You may request copies of any photographs we hold of you.

Data Retention: Medical record photographs are retained for 10 years (adults) or until age 25 (minors), in line with NHS guidelines. Marketing images are deleted upon withdrawal of consent.

Acknowledgements

Patient Signature
Date
Witness Signature (Clinic Staff)
Witness Name (Print)