Fertility Doula Media Release Form

Our Fertility Doula Media Release Form is a professional, customizable document designed to support fertility doulas and their clients when sharing photos, videos, or other media related to fertility support. This form ensures clear, informed consent is obtained before using any media captured during consultations, virtual sessions, in-person appointments, ceremonies, or support gatherings. It also addresses media involving partners, support persons, or minors present. By clearly outlining expectations, this form strengthens trust, protects client privacy, and promotes ethical communication throughout the fertility journey.

Key Sections of the Fertility Doula Media Release Form:

Client and Doula Information:
Collects essential details for both the fertility doula and the client to identify all parties involved in the agreement.

Purpose of Media Use:
Explains how media may be used, including marketing materials, websites, social media, advertisements, educational content, or other media outlets.

Client Consent:
Provides a designated space for the client to grant permission for the use of photos, videos, or recordings for approved purposes, including the involvement of partners or minors when applicable.

Right to Modify and Edit Media:
Clarifies whether the doula has permission to crop, edit, adjust, or otherwise alter the media for promotional, educational, or marketing use.

Confidentiality and Privacy:
Ensures that media will be handled respectfully, honoring client preferences, especially regarding sensitive or personal content related to fertility experiences.

Compensation or No Compensation:
Specifies whether the client will receive compensation or is providing consent without payment.

Time Period of Consent:
Indicates how long the client’s consent remains valid and whether it applies to future materials.

Revocation of Consent:
Explains how clients can withdraw consent and request that media be removed or no longer used.

Client Acknowledgment and Signature:
Includes space for the client to confirm their understanding and agreement with all terms of the release.

Key Features:

• Easy to Edit: Fully customizable to fit your fertility doula practice and client needs.
• Print-Ready: Professionally formatted and ready for printing after editing.
• Email-Friendly: Simple to download and share digitally.
• Clear Consent Terms: Written in client-friendly language to promote transparency and comfort.

How It Works:

• Purchase the Template: Access your digital files immediately.
• Edit the Template: Personalize the form in Microsoft Word with your business details and specific media use guidelines.
• Save and Use: Provide the form to clients to secure consent before using any media captured during fertility support.

Please Note:

• Personal Use Only: Redistribution, resale, or forwarding is not allowed.
• Digital Product: No physical item will be shipped.
• All Sales Are Final: Digital downloads are non-refundable.

A comprehensive media release form helps fertility doulas maintain professionalism, protect client boundaries, and ensure ethical use of all media. This template supports clear communication, and fosters trust throughout your fertility doula practice.