Media Consent Forms

To get started, select a form you would like to complete

General Media Consent

General Media Consent Form

Submit patient consent for photos and videos.
(Takes about 1 minute.)

Case Study Consent

Case Study Consent Form

For patients who want to share their story, photos, and videos as a written case study.
(Takes around 10 minutes.)

Looking for the Advocate Programme

If you are applying for the advocate programme, follow the options below.

Advocate Program Banner

Advocate Programme Consent Form

For patients applying to join our official Blatchford Advocate Programme.
(Takes around 15 minutes.)