Clinical images are an important part of your care. They are vital for your diagnosis and important in tracking changes over time. They may include internal and/or external clinical images, such as videos and photographs, and may be taken during your consultation with A/Prof R Gallagher in the operating theatre when you are under anaesthetic. It is important you know that these images are recorded and stored securely as part of your medical record. Sharing images with other health professionals may also be necessary as part of your medical care. Clinical images are also valuable for teaching and training. We would like to ask your permission to share your clinical images for the purposes of clinician and patient education. All images will be anonymous and all identifiable features will be removed.

Clinical Images Consent Form

I consent to clinical photographs, slides, digital images and/or video to be:

I acknowledge that: