Dental Photography Consent Form I authorize Dental Arts of Boston to take photographs, and/or videos of my face, jaws and teeth, before, during and after treatment. I consent to allow the photographs to be used for the following: Dental Records, Dental Research, Dental Education including lectures, seminars, demonstrations, professional publications such as journals or books, Marketing material, including websites and printed materials, patient education. I further understand that if the photographs and/or videos are used, my name or other identifying information will be kept confidential. I do not expect compensation, financial or otherwise, for the use of these photographs.*YesNoName* First Last
