As part of your skin check examination today, we shall be using a high definition imaging system to magnify the skin and make it easier for the doctor to see the detail in your moles/skin lesions. This system DOES NOT automatically record or save any images.
However, if there are any moles/skin lesions identified that are of short-term concern or that require longer term monitoring, your doctor will use the photography system to record and store images of those particular lesions for your medical records. We may also need to take photographs of any surgical procedure that may be required. These images will be stored securely in your medical record within the clinic and may be seen by other doctors within the clinic as part of our routine care. On occasion, it may be necessary to share these images with other health professionals involved in your medical care beyond our clinic, such as a pathologist or plastic surgeon.
Please indicate that you give your consent for us to record and store images of your skin by checking the appropriate box below.
On occasion, we may also wish to use certain images for teaching purposes of healthcare professionals such as medical students or post-graduate doctors. If you are happy for us to use your images in this manner, please indicate by checking the appropriate box below.
Any use of your images other than in your medical care and for teaching purposes is not included in this consent form and additional consent would therefore need to be sought for use of your images in any way other than that described above.
