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  • Photo Consent Form - University Of Iowa Hospitals And Clinics - Uihealthcare

Get Photo Consent Form - University Of Iowa Hospitals And Clinics - Uihealthcare

Photo Consent Form AUTHORIZATION FOR RELEASE OF INFORMATION AND/OR PUBLIC USE OF IMAGE (PHOTOGRAPH OR VIDEOTAPE) I hereby give my consent to participate in a promotional story, program, advertisement,.

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How to fill out the Photo Consent Form - University Of Iowa Hospitals And Clinics - Uihealthcare online

Completing the Photo Consent Form for University Of Iowa Hospitals And Clinics is an essential step in authorizing the use of your image for promotional purposes. This guide provides clear instructions on how to fill out the form online, ensuring a smooth and straightforward process.

Follow the steps to complete your Photo Consent Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Begin by filling in the visitor’s name at the designated field, ensuring it is printed clearly.
  3. Provide the full address including street, city, state, and zip code to accurately identify the visitor's location.
  4. Enter the home phone number, along with the work or cell phone number, in the respective fields to ensure contact is possible.
  5. Include the email address for electronic correspondence regarding the consent.
  6. The visitor or the visitor’s parent or legal guardian should sign the form in the space provided to authorize the consent.
  7. Input the date of signing in the appropriate field to indicate when the authorization was completed.
  8. Print the name of the visitor or the visitor’s parent or legal guardian beneath the signature to provide clarity on who has consented.
  9. Specify the relationship of the parent or legal guardian to the visitor, if applicable.
  10. Finally, record the visitor’s birth date to complete the documentation of consent.
  11. Once all fields are completed, you can save changes, download, print, or share the form as necessary.

Ensure your consent is documented properly by completing your Photo Consent Form online today.

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Contact support

1-800-777-8442.

Patients may be contacted directly by telephone by calling the main switchboard at (319) 356-2456.

Telephone Number (area code 319) - The University of Iowa phone numbers start with prefixes 335, 356, 384, and 467 and are listed as 335-x (5-x), 356-x (6-x), 384-x (4-x) and 467-x (7-x).

However, photo releases should contain the following components: Names. Names of both parties should be included in a photo release to properly identify who is either granting or receiving permission to use the photos. Terms. ... Description of the shoot. ... Agreement statement. ... Dated signature.

Identification and Characteristics Name and Address:University of Iowa Hospitals & Clinics 200 Hawkins Drive Iowa City, IA 52242Telephone Number:(319) 356-1616Hospital Website:uihc.orgCMS Certification Number :160058Type of Facility:Short Term Acute Care9 more rows

1-800-777-8442.

For more information, call 319-384-2785.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232