Media consent form

Your Details

Note: Questions marked by * are mandatory

For recorded interviews, filming or photography at Barts Health NHS Trust

We sometimes undertake filming, photography or recorded interviews with staff, volunteers, interns, and patients for use in publications, promotional materials, news releases, social media, and other communication channels. Participation is entirely voluntary. Please do not feel under any pressure to take part.

You may stop the filming/recording/interview at any time and for any reason. You may also withdraw permission before the material is used. Footage and photographs may be held indefinitely unless you contact us to withdraw permission.

*This is a mandatory field.

Your Role

Your details

I consent to Barts Health NHS Trust, other NHS organisations, project partners, and news/media organisations using:

  • Photography of me
  • Filming and recorded interviews
  • Basic details I am providing

I understand this material may be used in publications, promotional content, news releases, social media, and other healthcare‑related communication channels.

*This is a mandatory field.

Are you happy to consent?