Full Spectrum Doula Media Release Form

Our Full Spectrum Doula Media Release Form is a professional, customizable document designed to protect doulas and their clients when sharing photos, videos, or other media related to full spectrum support. This form ensures clear, informed consent is obtained before any media captured during pregnancy, birth, loss, abortion support, or postpartum care is used. It also covers media involving support persons or minors present during services. By outlining transparent terms and expectations, this form helps build trust, safeguard privacy, and support ethical communication.

Key Sections of the Full Spectrum Doula Media Release Form:

Client and Doula Information:
Collects essential contact information from both the doula and the client to clearly identify all parties involved.

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

Client Consent:
Provides a clear statement where the client grants permission for the use of photos, videos, or recordings for agreed-upon purposes, including consent for support persons and minors when applicable.

Right to Modify and Edit Media:
Clarifies whether the doula is permitted to edit, crop, or alter media for promotional or educational use.

Confidentiality and Privacy:
Ensures that media is handled with care, respecting client wishes regarding sensitive, personal, or private moments.

Compensation or No Compensation:
States whether the client will receive compensation or is consenting to media use without payment.

Time Period of Consent:
Specifies how long the client’s consent remains in effect for ongoing or future media use.

Revocation of Consent:
Explains the client’s right to withdraw consent and the process for doing so.

Client Acknowledgment and Signature:
Provides a space for the client to confirm they understand and agree to all terms included in the release.

Key Features:

• Easy to Edit: Fully customizable to fit your full spectrum doula practice.
• Print-Ready: Suitable for professional printing after editing.
• Email-Friendly: Simple to download and share digitally.
• Clear Consent Terms: Written in client-friendly language to support transparency and comfort.

How It Works:

• Purchase the Template: Access your digital files instantly.
• Edit the Template: Personalize the document in Microsoft Word with your practice details and media use preferences.
• Save and Use: Secure client consent before sharing any media captured during your care.

Please Note:

• Personal Use Only: Redistribution or resale is prohibited.
• Digital Product: No physical item will be shipped.
• All Sales Are Final: Digital purchases are non-refundable.

A clear and comprehensive media release form helps full spectrum doulas maintain professionalism, uphold client privacy, and establish trust across all types of care. This template supports ethical media use and strengthens communication throughout your practice.