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Form A2 Victorian Health Promotion Foundation (Health) Video and photograph consent form (with copyright license) Image Number(s) For Health use OneNote: This form should be signed by persons providing
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01
To fill out for vichealth use only, follow the steps below:
02
Begin by opening the vichealth form.
03
Read the instructions provided at the top of the form carefully.
04
Provide all requested personal information, such as your name, address, and contact details.
05
Fill in the required fields related to your health information, such as medical history or current health concerns.
06
Ensure that all the information you provide is accurate and up-to-date.
07
If there are any additional sections or questions specific to vichealth, make sure to complete them accordingly.
08
Once you have filled out all the necessary sections, review your form to ensure completeness and correctness.
09
Sign and date the form where indicated.
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If required, attach any relevant supporting documents as instructed.
11
Submit the completed form as per the provided submission instructions.

Who needs for vichealth use only?

01
For vichealth use only, the form is typically required for:
02
- Individuals seeking vichealth services or programs.
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- Patients or participants involved in vichealth-related studies or research.
04
- Applicants for vichealth grants, funding, or sponsorships.
05
- Any other individuals or organizations as specified by vichealth.
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For vichealth use only is a section designated for internal use by Vichealth and should not be shared outside of the organization.
The employees or individuals handling sensitive information for Vichealth are required to fill out the section for vichealth use only.
For vichealth use only section should be filled out with the necessary confidential information and kept secure within Vichealth's internal systems.
The purpose of the for vichealth use only section is to protect sensitive information and maintain confidentiality within the organization.
Any information that is considered confidential, proprietary, or sensitive to Vichealth should be reported on in the for vichealth use only section.
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