Photo & Video Release Form
Consent to capture before/after photos and use them for clinical records or marketing.
- 7 days free
- Cancel any time
- 10 languages
- No patient data stored on our servers
- Fields
- 7
- Practice type
- Med Spa
- Category
- Consent Forms
- Languages
- English
- Editable
- Yes — add, remove and reword fields
- Sharing
- Print, PDF or a secure link
Photo & Video Release Form — preview
Sample layout generated from the actual template.
I understand that I may revoke this consent at any time in writing, and that revocation does not apply to uses made before revocation.
Free to start — your edits are saved as you go.
About this form
The photo & video release form is a consent forms document used by med spa practices. Consent to capture before/after photos and use them for clinical records or marketing. In BoomCloud Forms it is a starting point: every field, heading and statement can be edited before you share it with patients.
Practices may use this template as a starting point and should review the wording against their own professional, regulatory and legal requirements before use.
What's included
This template ships with 7 fields:
- Client Name — Text
- Date of Birth — Date
- I consent to photos/videos for the following uses — Multiple choice
- May we identify you by first name? — Single choice
- Signature — Signature
- Date — Date
When practices use it
Med Spa teams typically attach this form to the treatment workflow, completing it with the patient after the procedure and its alternatives have been discussed. It can be sent digitally ahead of the visit, completed on a tablet in the office, or printed as a PDF.
How to customize it
- Reword any question, add fields, or remove ones your practice doesn't need.
- Apply your practice name, logo and colors so the form matches your brand.
- Switch to another supported language where a translated version exists.
- Share a secure link with the patient, or download a print-ready PDF.