I hereby grant permission to Eric S. Yao, DDS, MAGD or any of his staff members to take photographs or videos of my child's teeth, jaws, and face. I understand that my child's photographs, slides, videos, and my patient testimonial can be used for educational lectures, marketing and advertising for this dental practice (including Dr. Eric S. Yao's website, Facebook posts, YouTube, magazines/journal, and other social media). I also understand that if my child's photographs, slides, and videos are used in any publication or as a part of a demonstration, my identifying information (first name only) could be used. I do not expect compensation, financial or otherwise, for the use of these photographs.
I acknowledge Eric S. Yao, DDS, MAGD's right to crop or otherwise treat the photograph at his discretion. I also acknowledge that Dr. Eric S. Yao may choose not to use my child's photograph and testimonial at this time, but may do so at his own discretion at a later date. I also understand that once my child's image is posted on Dr. Eric S. Yao's website, Facebook, YouTube, and other social media, the image can be downloaded by any computer user, which is beyond the control of Dr. Eric S. Yao, and I will hold him and any of his affiliated offices harmless from any such use or download.
I hereby freely and voluntarily consent to the use of my child's photograph and testimonial as stated above until I revoke this consent in writing.