The Dental Photo Consent Form is a crucial document required in modern dental practice in Malaysia, where photographic documentation has become an integral part of treatment planning, progress monitoring, and patient education. This form is specifically designed to comply with Malaysian legislation, including the Personal Data Protection Act 2010, Private Healthcare Facilities and Services Act 1998, and Dental Act 1971. It provides a structured framework for obtaining informed consent from patients or their legal guardians for the capture, storage, and various uses of dental photographs. The document addresses multiple potential uses of dental photographs, from clinical documentation to educational purposes and marketing, while ensuring patient privacy rights are protected and professional obligations are met.

1. Patient Information: Basic identification details of the patient including name, IC/passport number, date of birth, and contact information

2. Purpose of Photography: Clear explanation of why dental photographs are being taken (e.g., treatment planning, documentation, education, marketing)

3. Types of Photographs: Description of the types of photographs that will be taken (e.g., intraoral, extraoral, full face, profile)

4. Consent Declaration: Clear statement of what the patient is consenting to, including specific uses of the photographs

5. Usage Rights: Explanation of how and where the photographs may be used, including any potential public display or educational use

6. Data Protection Statement: Information about how the photographs will be stored, protected, and handled in compliance with PDPA 2010

7. Duration of Consent: Specification of how long the consent remains valid and circumstances under which it can be withdrawn

8. Signatures: Space for patient/guardian signature, witness signature, and date