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Get the free Photo Interview Authorization Form - Patient Privacy - University of ... - privacy utah

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AUTHORIZATION TO PHOTOGRAPH, FILM, OR INTERVIEW A PATIENT Name Medical Record # Date of Birth Phone # () Patient Address I authorize the University of Utah Health Care (UHC) or news agencies to make
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The photo interview authorization form is a document that grants permission to interviewees or subjects to take and publish photos or videos of them during an interview process.
The person conducting the interview or the organization conducting the interview may require the interviewees or subjects to sign and file the photo interview authorization form.
To fill out the photo interview authorization form, the interviewee or subject needs to provide their personal information, consent to being photographed or recorded, and grant permission for the use and publication of the photos or videos.
The purpose of the photo interview authorization form is to legally obtain consent from interviewees or subjects to take and publish their photos or videos during an interview process.
The photo interview authorization form typically requires the interviewee or subject to provide their name, contact information, identification, and explicit consent to be photographed or recorded during the interview.
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