Midwife Media Release Form

Our Midwife Media Release Form is a professional, customizable document designed to protect both midwives and their clients when sharing photos, videos, or other media related to midwifery services. This form ensures clear consent is obtained from clients before using any media captured during pregnancy, labor, birth, or postpartum for promotional purposes, websites, social media, or other media outlets. By establishing transparent terms and expectations, this form helps foster trust and professionalism between midwives and clients. Here's what the template covers:

Key Sections of the Midwife Media Release Form

Client and Midwife Information:
This section collects essential contact details for both the midwife and the client, ensuring all parties involved in the agreement are clearly identified.

Purpose of Media Use:
This section outlines the specific ways in which the media will be used (e.g., promotional materials, websites, social media, advertisements, etc.) and details how the media will be shared.

Client Consent:
A clear statement where the client gives consent for the use of their media (photos, videos, or recordings) for specific purposes, ensuring their approval before any media usage.

Right to Modify and Edit Media:
This section clarifies whether the midwife has the right to edit or alter the media for use in promotional materials or other purposes.

Confidentiality and Privacy:
Addresses the importance of protecting the client's privacy, ensuring media is used with care and respecting their wishes regarding sensitive content.

Compensation or No Compensation:
Clarifies whether the client will receive compensation for the media or if they are voluntarily consenting to media use without any monetary exchange.

Time Period of Consent:
Specifies the length of time the client’s consent remains valid, ensuring clarity about the media's use and timeframe.

Revocation of Consent:
Explains how the client can revoke consent at any time if they no longer want their media to be used.

Client Acknowledgment and Signature:
A space for the client to sign, confirming their understanding and agreement to the terms outlined in the media release form.

Key Features:

• Easy to Edit: Customizable to suit your midwifery practice, including contact details, media usage terms, and client-specific requests.
• Print-Ready: Once edited, the form is ready for printing as a professional document.
• Email-Friendly: Easily downloadable and shareable via email for convenient digital use.
• Clear Consent Terms: Clear, easy-to-understand language that ensures clients fully comprehend their rights regarding media use.

How It Works:

1. Purchase the Template: Access the digital product instantly after purchase.
2. Edit the Template: Customize the media release form in Microsoft Word to include your midwifery business details and media use terms.
3. Save and Use: After editing, save the form and use it to secure client consent before sharing any media captured during their care.

PLEASE NOTE:

• Personal Use Only: This form template is for personal use only. Redistribution, resale, or forwarding of the file is prohibited.
• Digital Product: This is a digital download, and no physical product will be shipped.
• All Sales Are Final: As this is a digital product, all sales are non-refundable.

A well-defined media release form helps midwives ensure that all media shared with clients is done so with clear consent. This helps maintain professionalism, protect client privacy, and streamline communication. By establishing transparent terms for media use, this form fosters trust, reduces potential misunderstandings, and enhances your midwifery practice's reputation while maintaining positive client relationships.