About This Form
This form is used when Sirona care & health would like to use photographs, videos, audio recordings, interviews, testimonials or personal stories for communications, engagement and promotional purposes.
You may be asked to complete this form if you are taking part in:
- Photography sessions
- Filming or video recording
- Audio recordings
- Interviews
- Patient, carer or staff stories
- Testimonials about your experiences of using or delivering services
Why Is Consent Needed?
Before any images, recordings or stories are used, Sirona must obtain your permission.
The form explains:
- How your information may be used
- Where content may be shared
- How long consent will remain in place
- Your rights regarding privacy and confidentiality
- How to withdraw your consent if you change your mind
Where Could Content Be Used?
With your permission, photographs, recordings and stories may be used in:
- Sirona websites
- Social media channels
- Printed publications and leaflets
- Posters and promotional materials
- News articles and media publications
- Videos and presentations
- Training and engagement activities
The form allows you to make informed choices about how your information is used.
Your Rights
Participation is entirely voluntary.
You can:
- Decide whether to take part
- Choose whether your name is included
- Withdraw your consent at any time
- Ask questions before signing the form
Your decision will not affect any care, treatment or services you receive from Sirona care & health.
Data Protection
Sirona care & health handles personal information in accordance with UK GDPR and Data Protection legislation.
Any personal information collected through the consent process will be stored securely and only used for the purposes described within the consent form.
Further Information
This webpage provides a summary of the Publicity Consent Form.
For full details about:
- Photography and filming permissions
- Use of testimonials and stories
- Consent options
- Withdrawing consent
- Data protection and privacy
- Use of images, recordings and media content
please download and read the Publicity Consent Form using the document link available at the top of this page.
Contact Us
If you have any questions about publicity consent, media requests or the use of photographs, recordings or testimonials, please contact the Experience and Engagement Team.
