Social Media Consent Form for dental practices
Before you post a patient’s new smile, get it in writing. Download a free, editable social media consent form your practice can review with its own legal professional and put to use right away.
Get the consent form
Fill in your details and the form downloads straight away.
Why does your dental practice need this form?
Do you enjoy taking videos and pictures of patients to share their new beautiful smile with the world? It’s a great way to reassure potential patients that they’re in great hands.
But you don’t want to get caught sharing patient photos without a signed social media consent form.
Don’t make the same mistake as other dental practices like this one.
Dental practice pays $10,000 to settle social media disclosures of patients’ protected health information
A dental practice agreed to pay $10,000 to the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services, and to adopt a corrective action plan, to settle potential violations of the HIPAA Privacy Rule.
Source: HHS Office for Civil Rights.
A form you can actually edit and use
Editable Word file
Open it, add your practice name and branding, and adjust the wording to match how your office actually works.
Written permission on record
Capture consent before a photo or video goes out, so there is a signed record behind every post you publish.
Ready to go paperless
Use it on paper, or load it into mConsent and have patients sign on a tablet with the signature saved to your PMS.
Every consent form, signed on a tablet.
mConsent turns forms like this one into digital intake your patients complete before they arrive — with signatures written straight back to your practice management system.
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