Media release form

The University of Alabama at Birmingham (UAB) and the UAB Health System and its entities require authorization and release forms for use when students, faculty, staff, patients and/or others are photographed or recorded in an individual or small-group setting to be be used for the purpose of media, marketing, development, and/or customer service.

 

Non-Health care

The Media Release Form should be used for all non-health-care situations in which UAB faculty, staff, students or others are involved. Modification of the form is not permitted except by authorized parties. It is the responsibility of the department to keep the signed forms on file, normally for a period of 36 months.

Health care

To photograph, video record or audio record a patient or employee for the purposes of patient/staff identification, patient treatment, student/staff education, research, medical journal/publication or marketing, an approved consent form must be signed by the subject. Please contact UAB Health System Marketing to receive a copy of the approved consent form for your use.