Photo/Video Consent Agreement
Victoria Hospitals Foundation (VHF)

I hereby authorize Island Health and/or the Victoria Hospitals Foundation to take photographs and/or audio-visual recordings of myself.

I consent that these materials may be included in whole or in part, or reproductions thereof in colour or otherwise to be used exclusively by the Victoria Hospitals Foundation for the purpose of publication in any media, for art, advertising and other promotional materials.

I understand that I may request an opportunity to view the photographs, and that I have the right to request that the images be destroyed.