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1. Patient Information: Patient's full name, IC number/passport, contact details, and medical record number
2. Healthcare Provider Information: Name and details of the healthcare facility, department, and responsible healthcare provider
3. Purpose of Photography: Clear explanation of why the photographs are being taken and their intended use
4. Scope of Consent: Detailed description of what is being photographed, number of photographs, and specific body areas involved
5. Usage Rights: Description of how the photographs will be used, stored, shared, and for how long they will be retained
6. Patient Rights: Explanation of the patient's rights regarding the photographs, including right to withdraw consent
7. Privacy Protection: Description of measures taken to protect patient privacy and confidentiality
8. Declaration and Signatures: Formal consent statements and signature blocks for patient/guardian and healthcare provider
1. Interpreter Declaration: Section for interpreter details and signature when patient requires language assistance
2. Guardian Consent: Additional section when patient is a minor or lacks capacity to consent
3. Academic/Research Use: Specific consent for use of photographs in medical research or educational purposes
4. Withdrawal Process: Detailed process for withdrawing consent in the future
5. Digital Publication Consent: Specific consent for digital or online publication of images
6. Commercial Use: Consent for any potential commercial use of photographs
7. Cultural/Religious Considerations: Special considerations or restrictions based on patient's cultural or religious beliefs
1. Appendix A - Photograph Schedule: List of specific photographs to be taken, including body parts and angles
2. Appendix B - Usage Terms: Detailed terms and conditions for photograph usage and storage
3. Appendix C - Privacy Policy: Detailed privacy policy regarding medical photographs
4. Appendix D - Patient Rights Guide: Comprehensive guide to patient rights regarding their medical photographs
Healthcare Provider
Medical Facility
Consent
Identity Card
Patient
Medical Record
Personal Data
Sensitive Personal Data
Treatment
Medical Purpose
Educational Purpose
Research Purpose
Commercial Purpose
Digital Storage
Publication
Confidentiality
Privacy Policy
Usage Rights
Storage Period
Guardian
Withdrawal Notice
Medical Documentation
Authorized Personnel
Image Repository
Access Control
Data Protection
Digital Publication
Medical Journal
Consent Withdrawal
Healthcare
Medical Research
Medical Education
Clinical Practice
Plastic Surgery
Dermatology
Medical Documentation
Medical Publishing
Telemedicine
Medical Training
Legal
Medical Records
Clinical Operations
Research & Development
Medical Education
Compliance
Privacy & Data Protection
Patient Services
Clinical Documentation
Quality Assurance
Medical Photographer
Clinical Doctor
Nurse Practitioner
Medical Researcher
Clinical Trial Coordinator
Healthcare Administrator
Medical Education Director
Dermatologist
Plastic Surgeon
Medical Records Officer
Legal Compliance Officer
Privacy Officer
Medical Documentation Specialist
Clinical Operations Manager
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