Skin Sheek Photo Consent & Release Form
I the undersigned do hereby agree to the following. I am allowing photos/videos of my
treatment and/or treated areas to be used for the purpose of monitoring my progress.
I give permission for my photos/Videos to be used for education.
I give permission for my photos/Videos to be used for advertising.
At my request, my identity will remain anonymous.
At my request, my photos/Videos will only be used for my chart.