Populate ESigning Video Release Consent Letter For Free

A video consent form is a document used to obtain permission from individuals to record them in video format, either for personal or professional purposes. It serves as a legal agreement between the person being recorded and the recorder.

A valid electronic signature for consent and HIPAA authorization could be the subject's typed name or it could even be as simple as a check mark or an X or any other symbol in a box on a form. Any method is valid provided that the mark or symbol is "logically associated" with the individual making that mark.

I, ______________________________________________ (recorded person's full name), do hereby consent to the use by ________________________(entrant's full name) of my image, video, voice, or all three of them, in the item described above. In addition, I waive any right to inspect or approve the finished video recording.

By signing this form, I am allowing the researcher to audio or video tape me as part of this research. I also understand that this consent for recording is effective until the following date: _________________. On or before that date, the tapes will be destroyed.

By signing below, I am stating that I have read and understood the Informed Consent for Video Recording and that I am permitting __________________________ to video record our session(s) and review the video file(s) with the aforementioned individuals for supervision purposes.

Avoid legal-sounding language, such as "You hereby agree," "You certify that," "You, the undersigned, do acknowledge that," or ?You understand that.? Consent language should not assume the reader's gender or imply there are only two genders. The template language provided by the IRB is non-binary and non-gendered.