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Photo and social media consent

Name of home

We love sharing life at our home with families and our community. Before we share any photo or video in which you can be recognised, we ask for your permission. Saying no is completely fine and won’t change anything about your care or your job.

1. About you

Full name

Resident Member of staff Visitor or relative Other

2. Where may we use photos or videos of you?

PlaceYesNo
The home’s Facebook page
The home’s Instagram
The home’s Google listing
The home’s website
Newsletters and noticeboards in the home
Recruitment adverts

Social media posts are public. People can see, save and share them, and we can’t control copies made by others.

3. Your name

Use my first name only Use my full name Don’t use my name

4. Changing your mind

You can change your mind at any time by telling any member of staff. We’ll stop using the photos straight away and remove posts we control. We review this form at least once a year.

5. Signature

Signed
Date

If someone is signing on the person’s behalf

Only complete this if the person can’t make this decision themselves, after a capacity assessment for this decision.

Lasting Power of Attorney for health and welfare Court-appointed deputy Best-interests decision recorded in the care plan

Name and relationship
Signed
Date

For the home

Checked by (manager)
Review due

This form is a free template from Ribbon by Candykite. Adapt it to your home’s own data protection and capacity policies. It is not legal advice.