Patient Information
Photography Consent Levels
Please indicate your consent for each level. You may consent to some and decline others.
Level 1: Medical Records Only (Recommended)
Photographs will be stored securely in your medical records to track your treatment progress. They will NOT be shared externally.
Level 2: Professional Training & Education
Photographs may be used for practitioner training, professional conferences, or educational materials. Your identity will be anonymised (face cropped or blurred where possible).
Level 3: Website & Portfolio
Before and after photographs may be displayed on the clinic's website or in-clinic portfolio. Your name will NOT be used.
Level 4: Social Media Marketing
Photographs may be shared on the clinic's social media accounts (Instagram, Facebook, TikTok, etc.). Your name will NOT be used unless you provide separate written consent.
Level 5: Testimonial / Case Study (Optional)
You agree to provide a written or video testimonial and allow use of your first name alongside your images.
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
By signing below, I confirm that:
I have read and understood the different consent levels above
I have been given the opportunity to ask questions
I understand I can withdraw consent at any time
I understand my name will not be used without additional written consent
I understand images may be edited for lighting/cropping but not digitally altered to misrepresent results
I am over 18 years of age (or parent/guardian consent is provided)
Witness Signature (Clinic Staff)