Get Media Release Form

Filling out the Media Release Form is an essential step for granting permission to Oregon Health & Science University to use media material featuring you. This guide will help you navigate the form with clear and straightforward instructions.

Follow the steps to complete the Media Release Form without hassle.

1. Press the ‘Get Form’ button to access the Media Release Form and open it in your preferred editing tool.
2. Begin by filling out your name in the designated field. If the consent is for another person, please enter their name in the space provided.
3. Complete the address section with your current postal address. This information helps OHSU contact you if needed.
4. Review the permission granting section carefully. This section allows OHSU to use photographs, videos, audio recordings, and text materials of you or the individual noted on the form.
5. Sign the form in the signature field to confirm your agreement with the terms outlined. If the individual is under 18, a parent or guardian must also provide their name and signature.
6. Enter your email address in the appropriate field. This provides OHSU with a way to communicate any relevant information.
7. Select your OHSU affiliation from the options given (such as Student, Staff, Faculty, Alumni, etc.). If you choose ‘Other,’ please specify your relationship.
8. Finally, fill in the date on which you are completing the form to ensure all information is current.
9. After reviewing all filled sections for accuracy, you may save your changes, download, print, or share the completed Media Release Form as needed.

Take the next step and fill out your Media Release Form online today.