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Social Media Consent Form For Patients
"I need a Social Media Consent Form For Patients that allows our dental clinic to share before/after photos of teeth whitening treatments on Instagram and Facebook, with specific provisions for patient privacy and the ability to withdraw consent within 24 hours notice."
1. Patient Information: Basic identifying information about the patient including name, identification number, and contact details
2. Purpose of Consent: Clear explanation of why the content will be shared on social media and the intended objectives
3. Scope of Consent: Specific details about what content can be shared (images, videos, testimonials, etc.) and any limitations
4. Platforms and Usage: Detailed list of specific social media platforms where content will be shared and how it will be used
5. Duration of Consent: Time period for which the consent remains valid and conditions for expiration
6. Privacy Protection Measures: Comprehensive description of how patient privacy will be protected and data security measures
7. Withdrawal Rights: Process for withdrawing consent, timeframes, and implications of withdrawal
1. Commercial Usage Rights: Additional terms and conditions for marketing or commercial use of content
2. Third Party Access: Details about other parties who may have access to the content and their obligations
3. International Data Transfer: Information about cross-border data sharing and applicable international privacy laws
1. Schedule A - Sample Content Preview: Examples and mock-ups of how the content will appear on social media platforms
2. Schedule B - Platform Privacy Policies: References and links to privacy policies of relevant social media platforms
3. Schedule C - Contact Information: Comprehensive list of relevant contact persons for queries, concerns, or consent withdrawal
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