Get Nyu Hospitals Center

Filling out the NYU Hospitals Center consent for medical photography form is a straightforward process. This guide will provide you with a clear, step-by-step approach to ensure you complete the form accurately and understand its contents.

Follow the steps to successfully complete your consent form.

1. Press the ‘Get Form’ button to access the document and open it in your editing tool.
2. Begin by reviewing the consent statement, which outlines your agreement to permit photography during your treatment at NYU Langone. Ensure you understand the purpose for which the photographs or videos will be used.
3. Indicate the purpose of the photography by selecting from the options provided: Clinical/Treatment, Academic, or Other. If choosing 'Other', write a brief description in the space provided.
4. Enter the name of the individual taking the photographs. Provide their Kerberos ID, if applicable, to identify the person responsible for capturing the images.
5. Write down the name of the department or company associated with the photographer if they are not part of NYU Langone.
6. Read the statement confirming you have been fully informed about the form, then sign and date the document. Ensure you note the time of signing as well.
7. If you are not the patient, provide your name and specify your authority to sign on behalf of the patient. Include any necessary supporting documentation.
8. A witness must confirm your signing by providing their signature, printed name, and date below the witness’ statement section.
9. If interpretation services were necessary, check the appropriate box for sight translation or discussion interpretation. Provide the interpreter's signature, name, and ID number.
10. Review all the information entered in the form to ensure accuracy. Save your changes, download, print, or share the completed form as needed.

Complete your consent for medical photography form online today and ensure your voice is heard.