Physical Therapy Patient Video Release Form

Physical therapy practices need clear patient consent when capturing progress videos, testimonials, and clinical case studies for educational content and marketing materials. This Physical Therapy Patient Video Release Form provides a complete, HIPAA-friendly framework for obtaining proper authorization while protecting patient privacy and building trust.

Physical therapists, clinic administrators, and healthcare marketers can use this template to streamline the consent process for video content across multiple channels—from social media posts and website testimonials to continuing education presentations and clinical research. The form clearly outlines how footage will be used, what identifying information may be shared, and gives patients control over their participation.

With Paperform's conditional logic, you can adapt the consent questions based on the specific type of content being created—whether it's a before-and-after progress video, a patient testimonial, or an anonymized case study for professional education. The doc-style editor makes it easy to add your practice branding, include visual examples of past content, and create a professional experience that patients trust.

Papersign integration lets you capture legally binding electronic signatures directly within the workflow, creating a complete audit trail that's securely stored with the patient's submission. For practices managing ongoing consent across multiple patients and content types, Stepper can automate notifications to your marketing team, update patient records in your practice management system, and trigger appropriate follow-up communications.

This form template is ideal for physical therapy clinics, rehabilitation centers, sports medicine practices, and healthcare providers who want to showcase patient outcomes while maintaining proper consent protocols and protecting patient privacy throughout the content creation process.