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GOLLUM FACIAL PLASTIC SURGERY 13431 Old Meridian Street, Suite 110 Carmel, IN 46032 www.gillumfps.com Phone: 3175710756 Fax: 3175710820 PATIENT PHOTOGRAPHIC AUTHORIZATION AND RELEASE I, authorize
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How to fill out photo consent- pre op

01
Begin by having the photo consent form ready. This form typically includes sections for the patient's personal information, the purpose of the photos, and a release statement.
02
Make sure the patient is aware of the purpose and importance of obtaining their photo consent. Explain to them that these photos will be used for medical documentation and possibly educational purposes.
03
Before the pre-op procedure, give the patient ample time to review the consent form. Answer any questions they may have regarding the form or photo usage.
04
If the patient agrees to provide consent, request them to sign and date the specified areas on the form. Ensure their signature is legible and clearly corresponds to their printed name.
05
If there are any additional witnesses present, ask them to sign the form as well, if required.
06
Make a copy of the photo consent form for the patient's records, and provide them with the original signed copy.
07
Ensure that the signed consent form is securely filed and easily accessible for future reference, if needed.
08
Remember to maintain patient confidentiality by only using the photos for authorized purposes as specified in the consent form.

Who needs photo consent- pre op?

01
Photo consent - pre-op is required for patients who will undergo pre-operative procedures or surgeries where photography is necessary for medical documentation purposes.
02
It is generally required in situations where the patient's images are needed for research, education, or training purposes.
03
Each medical facility may have specific guidelines and policies that determine when photo consent is necessary. It is best to consult the institution's protocols or legal department for further clarification.
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Photo consent- pre op is a form that allows patients to give permission for medical photographs to be taken before a surgical procedure.
The patient scheduled for a surgical procedure is required to fill out and file the photo consent- pre op form.
To fill out the photo consent- pre op, the patient must provide their personal information, sign the form, and indicate their consent for medical photographs to be taken.
The purpose of photo consent- pre op is to ensure that patients understand and consent to the use of their medical photographs for educational, research, or documentation purposes.
The photo consent- pre op form must include the patient's name, date of birth, signature, date of procedure, and a statement of consent for the use of medical photographs.
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