2. Please ensure before using this
product you have read and
understood your employers or
organisations policy regarding
taking pictures or video images of
patients.
This may require consent to also be
obtained on local paperwork
Use of this app does NOT remove
the need to also follow local policy
Please tick this box to acknowledge the
above
3. Enter Patient Name:
Enter Patient/Guardian E-mail Address
By clicking the consent button I consent for my
photograph to be taken and used, in an open access
website, journal or mobile application for the
purposes of medical education [add more stuff here].
An e-mail of the consent will be sent to me and I can
withdraw it at anytime by replying to the e-mails.
Consent
5. Please show the picture taken to the patient
If they are happy press the send button below
This will delete the photo on this phone and send a
copy of the consent form to the patient and a copy of
the photo and the consent form to your predefined e-
mail
Agree