The School of Medicine and UCR Health requires releases to be signed for all photography, videography, or audio releases, These requirements are covered in School of Medicine Policy 950-02-006.

All subjects participating in the activity must sign the appropriate permission forms, with these forms sent to and maintained by the UCR SOM Compliance Office.

• The Marketing and Promotional Photo, Video, and Audio Release (Non-PHI) form (Appendix A) should be used for all general photo, video and other recordings in which no protected health information (PHI) will be exposed. This includes SOM students, faculty and staff. A Spanish-language version of this form is also available for download.
• The Consent for Photography, Video, and Audio Release for Educational Purposes (PHI) form (Appendix B) should be used for any recordings in which protected health information (PHI) could be exposed.
• The Authorization to Use and Disclose Protected Health Information (PHI) for Media/Marketing and Other Related Purposes (Appendix C) should be used in addition to Appendix B when appropriate. Please review the policy for more information.
• The Confidentiality Statement for Non-Workforce Members (Appendix E) should be used when individuals who are not employed by the UCR School of Medicine or UCR Health are participating in photography, videography or other recordings in which protected health information (PHI) could be exposed. This includes individuals hired by the UCR SOM, UCR staff and faculty who are unaffiliated with the SOM, or non-UCR employees (including members of the media).

Original copies of all forms should be sent by campus mail to the Office of Compliance. You may also scan the forms and save them as PDFs.

Large Scale Event Photos and Videos

In the case of recordings made at School of Medicine and UCR Health events where no protected health information will be shared and where it would be unreasonable to get individual permission forms all participants, event organizers should make a general statement, either in writing prior to the event or by using signage or verbally during the event, about recording taking place and inform individuals how they can opt out from participation.