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AUTHORIZATION FOR AND RELEASE OF PHOTOGRAPHS, SLIDES, AND/OR VIDEO FOOTAGE OF PATIENT IMAGES UCI Plastic Surgery and the following physicians: Gregory R.D. Evans, MD, Mark Kobayashi, MD, Brock Lanier,
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To fill out the plastics-photo-consent-formfinal91520-surgery, follow these steps:
02
Start by entering your personal information, such as your name, address, phone number, and email address.
03
Provide details about the surgery you are undergoing, including the type of procedure, the date of the surgery, and the name of your surgeon.
04
Read through the consent form carefully to understand the purpose of the photographs and how they will be used.
05
Sign and date the form to indicate your agreement and understanding of the consent.
06
Make sure to keep a copy of the filled-out form for your records.
07
Submit the completed form to the appropriate department or individual responsible for collecting consent forms.

Who needs plastics-photo-consent-formfinal91520-surgery?

01
Plastics-photo-consent-formfinal91520-surgery is needed by individuals who are undergoing plastic surgery procedures and are required to provide consent for the use of photographs taken during the surgery.
02
The form ensures that individuals are aware of the purpose of the photographs and how they may be utilized, such as for medical documentation, research, or educational purposes.
03
It is important for patients to understand the significance of the form and comply with the consent process to protect their rights and privacy.
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Plastics-photo-consent-formfinal91520-surgery is a specific consent form used in plastic surgery that requires patients to authorize the use of their photos in medical records and for promotional purposes.
All patients undergoing procedures in plastic surgery that require photographic documentation are required to file the plastics-photo-consent-formfinal91520-surgery.
To fill out the plastics-photo-consent-formfinal91520-surgery, patients should provide their personal information, sign the consent for photo usage, and date the form. It's advisable to read all instructions carefully before submitting.
The purpose of the plastics-photo-consent-formfinal91520-surgery is to ensure that patients give informed consent for the use of their images in medical records and for educational or marketing purposes.
The form must include the patient's name, contact information, signature, date, and any specific provisions regarding how the photos will be used.
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