Photography Release

I hereby authorize Vancouver Dental Specialty Clinic to post intra-oral photographs (photos of the inside of my mouth only) taken of me during my dental office visits for use on our website for before and after treatment as well as educational purposes.

I hereby release Vancouver Dental Specialty Clinic, its contractors, its employees, and any third parties involved in the posting of intra-oral photographs on the website from liability for any claims by me or any third party in connection with my participation.

We will respect your confidentiality. Your name, personal information, and any facial photos will not be shared with any other parties. Thank You.

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I CONFIRM THAT THE INFORMATION GIVEN IN THIS FORM IS TRUE, COMPLETE, AND ACCURATE.

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By entering your full name, email address, and phone number, you agree with online transfer of information that will be used by Vancouver Dental Specialty Clinic for the sole purpose of returning your request to be contacted by us. Vancouver Dental Specialty Clinic takes no responsibility for web communication.

Photography Release

Photography Release

3488 West Broadway

604-336-0958

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