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CO Nurse-Family Partnership Image Release and Consent Agreement 2017-2026 free printable template

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IMAGE RELEASE AND CONSENT AGREEMENT (Release) Name: By signing this Release, I agree to allow the NurseFamily Partnership (NFL) to quote me or use photographs, video recordings or electronic images
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How to fill out CO Nurse-Family Partnership Image Release and Consent

01
Start by downloading the CO Nurse-Family Partnership Image Release and Consent form from the official website.
02
Read the instructions provided at the top of the form carefully.
03
Fill in the participant's full name in the designated section.
04
Provide the date of birth of the participant in the appropriate field.
05
Indicate the relationship of the person signing the form to the participant.
06
Check the boxes that specify what type of images or recordings can be used (e.g., photographs, video).
07
Write in the intended uses for the images or recordings (e.g., promotional material, training purposes).
08
Include the date on which the form is being filled out.
09
Sign the form and provide the printed name of the person signing.
10
If required, have a witness sign the form in the designated area.

Who needs CO Nurse-Family Partnership Image Release and Consent?

01
Participants of the CO Nurse-Family Partnership program and their families who consent to the use of their images for promotional or educational purposes.
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CO Nurse-Family Partnership Image Release and Consent is a document that allows the organization's representatives to take photographs or recordings of participants and their families for promotional and educational purposes.
Participants in the CO Nurse-Family Partnership program, or their guardians, are required to file the Image Release and Consent document.
To fill out the CO Nurse-Family Partnership Image Release and Consent, you need to provide the participant's name, date, and signature, along with any specifics about the types of images or recordings that may be captured.
The purpose of the CO Nurse-Family Partnership Image Release and Consent is to ensure that participants give informed consent for their images or recordings to be used, helping to protect their privacy and comply with legal requirements.
The information that must be reported includes the participant's name, contact information, description of the media being released, a statement of consent, and any limitations or specifics regarding the use of the images.
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