Photo Sharing Consent Form

As part of our commitment to providing comprehensive dental care and education, we occasionally share dental photos on our social media platforms to showcase the work we do and to educate others about dental health.

We believe that sharing these photos can be beneficial in raising awareness about various dental procedures, treatments, and outcomes. However, we also understand the importance of respecting your privacy and ensuring that you are comfortable with how your photos are used.

We would like to request your consent to use your dental photos on our social media channels, Facebook, and Instagram. These photos may include before-and-after images, treatment procedures, or other relevant visual content related to your dental care.

Please rest assured that we take patient privacy and confidentiality seriously. If you grant us permission to use your photos, we will take the following precautions:

Your identity will be protected: We will not include any personally identifiable information in the posts, and we will take measures to ensure that your face or any other identifying features are not visible, if requested.

Your privacy will be respected: We will only share photos that are relevant to dental education and do not compromise your privacy or dignity.

Your consent is revocable: You have the right to revoke your consent at any time. If you decide that you no longer wish for your photos to be used, simply inform us, and we will remove them from our social media channels.

Your participation in this voluntary initiative is greatly appreciated, but please know that it is entirely optional. Your decision will not affect the quality of care you receive at our practice.

Let us know if you have any questions or concerns regarding this request. Please indicate your consent by ticking the box below and submitting the form to Patheodent.

Thank you for your attention to this matter and thank you for entrusting us with your dental care.