Patient Photographs and Video Consent and Release Form

Photo Consent

Patient Photographs and Video Consent and Release Form

New Image Plastic Surgery is committed to providing our patients with comprehensive information about procedures and outcomes, and photo documentation plays a key role in achieving this goal. By signing this form, you are consenting to the use of images that may help educate and support future patients considering similar procedures.

Consent for Photography and Video

I hereby grant New Image Plastic Surgery permission to capture photographs and/or video footage of me and the specific areas of my face or body involved in my procedure. These images are used as part of my medical records at New Image Plastic Surgery. They may also be viewed confidentially by patients considering similar treatments to aid in their understanding of potential outcomes.

Additional Use for Education and Research

I understand that these images may be useful in advancing medical knowledge and may be utilized in professional medical journals, presentations, or educational materials. In such cases, all images will be used responsibly and without any personally identifiable information.

Use for Patient Education and Public Awareness

We recognize that seeing real outcomes can be helpful to individuals considering plastic surgery. For this reason, I grant permission for New Image Plastic Surgery to use my before-and-after images on the New Image Plastic Surgery website and social media platforms. We will zoom in on specific treatment areas and carefully crop the images to protect your privacy and prevent identification.

Privacy and Anonymity Assurance

Your name, face (where possible), and any other identifying features will not be disclosed. Images will be displayed in a way that focuses only on the relevant treatment area to respect your privacy.