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Media Release Forms

HIPAA Media Release Form

The HIPAA Media Release Form is used anytime you will involve a patient or PHI in an article, photography, or video.


Instructions for the YSM HIPAA Media Release Form Tool

General Photo/Video Release form

The General Release form can be used when the shoot is not clinical and there is no PHI involved. For instance, you might use this form if you are taking photographs of a gathering and you want to have release forms for the visitors who were included in the photograph.