Botox & Filler Treatment Photo Release Form
About this free form template

Streamline Patient Consent for Your Aesthetic Practice

Running a successful Botox and filler clinic means showcasing your artistry while respecting patient privacy. This Botox & Filler Treatment Photo Release Form helps cosmetic clinics, med spas, and aesthetic practitioners obtain clear, legally-sound consent for using patient images in marketing materials, social media, and enhancement galleries.

Built for aesthetic medicine professionals

Whether you're a dermatologist, nurse injector, or cosmetic clinic owner, this template captures everything you need: patient details, specific treatment information, consent for photography, usage permissions, and optional testimonials. The form includes conditional logic to respect patient preferences—so if someone declines photo use, you'll skip irrelevant questions automatically.

Professional consent meets beautiful design

This form is designed to match the polished, trustworthy aesthetic your patients expect. With custom branding options, you can align fonts, colors, and imagery with your clinic's visual identity. Embed it directly on your website, send it via email before appointments, or use it on-site via tablet during consultations.

Smart workflows with Papersign and Stepper

Once submitted, you can route the form to Papersign for secure eSignatures—perfect for creating a complete audit trail of patient consent. Connect the form to Stepper to automatically update your patient management system, notify your marketing team when new before-and-after content is approved, or trigger follow-up emails thanking patients for their participation.

Trust, compliance, and efficiency in one platform

Paperform is SOC 2 Type II compliant and trusted by healthcare and wellness providers worldwide. This template helps you maintain HIPAA-awareness (though Paperform itself is not HIPAA-compliant), build patient trust, and keep your marketing pipeline full of authentic results—all without juggling paper forms or chasing down signatures.

Perfect for cosmetic clinics, med spas, dermatology practices, aesthetic nurses, and beauty professionals who want to grow their practice with real patient stories and results.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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