Authorization for and Release of Medical Photographs
This is a consent document that has been prepared to help inform you concerning permission to take photographs and to use these images for a purpose as defined within this consent document. After reviewing, please sign the consent as proposed by your Medical Provider.
Medical photographs may be taken before, during, or after a surgical procedure or treatment. Consent is required to take such images. Additionally, patients may consent to release these medical photographs for a stated purpose.
Consent to take photographs-
I hereby authorize Dr. David Rankin and or his associates of licensees to take pre-operative, intra-operative, and post-operative photographs. I additionally consent to photographs during my consultation/office visit.