Photo and Video Consent Release Form

No patients or visitors at Cooper University Health Care may be photographed or videotaped without their prior consent and/or the consent of a legal guardian in the case of minor children or incapacitated adults. The Public Relations/Communications staff will have all patients, family members, or visitors sign an “Authorization for Use and Disclosure of PHI for a Communications or Media Relations Activity” prior to any interviews and/or photography.

Download the Photo Consent Form here.