---
title: Quantum Biofeedback Client Photo & Media Release Form Template | Paperform
description: Professional media release form for quantum biofeedback clinics to obtain client consent for photos, videos, and testimonials from energy assessment sessions. Customize for your holistic wellness practice.
url: "https://paperform.co/templates/quantum-biofeedback-client-photo-media-release-form"
type: static
generatedAt: "2026-03-28T00:44:57.866Z"
---

[← Back to free form templates](/templates/)    ![Quantum Biofeedback Client Photo & Media Release Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/quantum-biofeedback-client-photo-media-release-form.png)
    [Preview](https://_preview.paperform.co/ai-template/quantum-biofeedback-client-photo-media-release-form) [Use this template for free](/create?ai-template=quantum-biofeedback-client-photo-media-release-form)    [Consent & Permission Forms](/templates/category/consent-permission/) [Marketing & Agencies](/templates/industry/marketing-agencies/)[Healthcare](/templates/industry/healthcare/)[Fitness & Wellness](/templates/industry/fitness-wellness/) [Marketer](/templates/role/marketer/)[Small Business Owner](/templates/role/small-business-owner/)[Health Coach](/templates/role/health-coach/)[Therapist](/templates/role/therapist/)     About this free form template
### Protect Your Practice While Sharing Transformational Stories

Running a quantum biofeedback or holistic wellness clinic means witnessing incredible transformations in your clients' energy, consciousness, and overall wellbeing. Sharing these success stories through photos, videos, and testimonials is one of the most powerful ways to connect with potential clients and demonstrate the value of energetic medicine—but you need proper consent first.

This **Quantum Biofeedback Client Photo & Media Release Form** template gives you a professional, comprehensive way to obtain permission from clients before featuring their images, scanning results, or testimonials in your marketing materials, social media channels, or wellness content.

#### Why Your Biofeedback Practice Needs a Dedicated Media Release Form

When you're working in the holistic health and consciousness wellness space, trust is everything. Your clients are sharing vulnerable moments during their energy assessment sessions, and many are experiencing profound shifts in their wellbeing. Before sharing any aspect of their journey publicly, you need clear, documented consent that protects both parties.

This form template helps you:

 - **Obtain explicit consent** for using photos and videos from assessment sessions
 - **Specify exactly where** media will be used (website, social media, print materials, presentations)
 - **Clarify usage rights** for testimonials and client success stories
 - **Protect client privacy** while sharing your practice's impact
 - **Build trust** through transparent communication about media usage
 - **Stay compliant** with privacy regulations and industry best practices

#### What Makes This Template Perfect for Holistic Wellness Practices

Unlike generic photo release forms, this template is specifically designed for quantum biofeedback, energetic medicine, and consciousness wellness practitioners. It uses appropriate, professional language that resonates with the holistic health community while maintaining the legal clarity you need.

The form captures all the essential information—client details, session context, and specific permissions—while explaining how their images and testimonials will help educate others about the benefits of energy healing and holistic scanning technologies.

#### How to Use This Template in Your Practice

Simply customize the template with your clinic's name, add your logo, and adjust the form fields to match your specific needs. You can have clients complete this form:

 - **Before a session** when you know you'll be taking photos or videos
 - **During onboarding** to get blanket consent for all future sessions
 - **After a transformational session** when a client expresses willingness to share their story
 - **At events or workshops** where you'll be documenting the experience

The form is designed to work on any device, so clients can easily complete it on a tablet in your clinic, on their phone before arriving, or at home via email.

#### Streamline Your Consent Process with Paperform

With Paperform, managing client consent becomes effortless. Submissions are automatically saved and searchable, so you can quickly verify whether you have permission to use a specific client's media. Set up email notifications to receive confirmation immediately when a client submits their consent, and use conditional logic to show different options based on their comfort level.

#### Integrate with Your Practice Management Workflow

Once you've collected consent, you can use **Stepper** to automatically add the client to your "Marketing Permission" list in your CRM, update their profile in your practice management software, or trigger a thank-you email with details about where they might see their content featured. This keeps your entire team informed about which clients have granted media permissions.

For practitioners who need additional documentation, you can easily connect this form to **Papersign** to have clients provide an electronic signature on your full media release agreement, creating a complete audit trail for your records.

#### Customize for Your Unique Practice

Every quantum biofeedback and holistic wellness practice is different. You might focus on:

 - Quantum resonance scanning and analysis
 - Bioresonance therapy and frequency healing
 - Consciousness coaching and energetic alignment
 - Stress reduction through biofeedback technology
 - Holistic health assessments using QXCI/SCIO systems
 - Chakra balancing and energy medicine

This template is flexible enough to accommodate all these modalities and more. Simply adjust the language to reflect your specific services, and add or remove fields based on the type of media you typically create.

#### Build Your Practice Through Authentic Client Stories

Your clients' transformation stories are your most powerful marketing tool. When potential clients see real people experiencing real results from quantum biofeedback sessions, they're far more likely to book their own assessment. This form template makes it simple to collect the permissions you need to share those stories with confidence.

Whether you're posting before-and-after energy scans on Instagram, featuring client testimonials on your website, or creating educational content about the biofeedback process for YouTube, having proper consent documented protects everyone involved and allows you to focus on what you do best—helping people achieve optimal wellness through energetic medicine.

#### Professional, Compliant, and Client-Friendly

This template strikes the perfect balance between legal protection and client experience. It's thorough without being intimidating, and it uses warm, approachable language that matches the healing environment you've created in your practice. Clients will appreciate the transparency and professionalism, and you'll have peace of mind knowing you're handling consent the right way.

Ready to start sharing your clients' transformation stories? Customize this template today and create a seamless media consent process that supports both your marketing goals and your commitment to client care.
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