Medical Photography Consent Form Template for Singapore

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Key Requirements PROMPT example:

Medical Photography Consent Form

"Need a Medical Photography Consent Form for our teaching hospital that specifically allows for photographs to be used in both medical research and student education, with clear provisions for international data sharing as we collaborate with universities in Australia."

Document background

The Medical Photography Consent Form is essential for healthcare providers in Singapore requiring documented authorization for patient photography. This form ensures compliance with Singapore's strict data protection and healthcare regulations, including the PDPA 2012 and Healthcare Services Act 2020. It's designed to protect both patient privacy and healthcare providers' legal interests while facilitating necessary medical documentation, research, or educational purposes. The form clearly outlines the scope of consent, intended use of images, data protection measures, and patient rights.

Suggested Sections

1. Patient Information: Basic identifying information of the patient including name, NRIC/passport number, and contact details

2. Healthcare Provider Information: Details of the medical facility and healthcare provider conducting the photography

3. Purpose of Photography: Clear explanation of why photographs are being taken and their intended use

4. Scope of Consent: Specific details about what is being photographed, how images will be used, and duration of consent

5. Data Protection Statement: Information about how photos will be stored, protected, and handled in accordance with PDPA requirements

6. Declaration and Signature: Formal consent statement and signature blocks for patient/guardian and healthcare provider

Optional Sections

1. Research Usage: Additional consent provisions for use of photographs in medical research, as required under Human Biomedical Research Act

2. Educational Usage: Specific consent for using images in medical education and training purposes

3. Publication Consent: Additional permissions for publication of photographs in medical journals or other professional publications

4. Translator Declaration: Section for translator details and declaration when consent process requires translation services

Suggested Schedules

1. Photography Schedule: Detailed list of specific photographs to be taken, including body parts and intended angles

2. Information Sheet: Detailed explanation of the procedure, image usage, and patient rights regarding the photographs

3. Privacy Policy: Comprehensive data protection and privacy information in compliance with PDPA requirements

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare
Medical Research
Medical Education
Plastic Surgery

Relevant Teams

Medical Records
Clinical Photography
Legal & Compliance
Research & Development
Medical Education

Relevant Roles

Medical Photographer
Clinical Director
Medical Records Officer
Research Coordinator
Data Protection Officer

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Let's create your Medical Photography Consent Form

Authors

Alex Denne

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