Photography, Video & Marketing Consent

Purpose & Scope of This Consent

This is a standalone master authorization for the capture and use of photographs, videos, and audio recordings of me at Navara Health, PLLC. This consent governs imagery and recordings made for medical documentation, treatment planning, quality assurance, education, and (with my separate permission) marketing or promotional use.

This consent complements any procedure-specific photo opt-in blocks contained within individual treatment consents (such as Vampire Facelift®, Vampire Facial®, Tox/Filler, GLP-1, VAMP™ Advanced, and others). Where this master consent and a procedure-specific opt-in differ, the more restrictive of the two will govern unless I have signed a written update authorizing broader use.

Scope of Media Covered

This consent covers all of the following, whether captured by Navara Health staff, contracted photographers/videographers, or social media partners working on behalf of the practice:

Distribution Channels (If Marketing Opt-In Selected)

If I authorize marketing use, my media may appear on any of the following:

How Media Is Captured & Stored

• Clinical photos and videos are captured by Navara Health staff using practice-owned devices or under contracted photography arrangements
• Clinical images are stored in my confidential medical record per HIPAA Privacy and Security requirements
• Marketing-approved images may be stored on practice-controlled cloud platforms, social media management tools, and platform servers
• Images may be cropped, color-corrected, retouched for clarity, or modified for presentation
• My name and identifying information will not be published with my image unless I provide separate written authorization for testimonial use
• Complete anonymity cannot be guaranteed in identifiable images despite reasonable efforts to de-identify
• Once images are posted to public platforms (social media, websites), they may be downloaded, shared, or screenshot by third parties; the practice cannot fully control downstream distribution

Four-Tier Authorization — Please Initial Each Option

I understand that my choices below apply to each tier separately. I may consent to one tier and decline others.

Ownership, Use Conditions & Compensation

If I authorize marketing use (Tier 2, 3, or 4), I understand and agree that:

• Navara Health retains full ownership and copyright of all media captured
• Images and recordings may be cropped, edited, color-corrected, time-shifted, retouched for clarity, or combined with text overlays or other content
• Media may be used for an indefinite duration unless I revoke authorization in writing
• I will not receive financial compensation for use of my media
• My name or identifying information will not be published with my image without separate written testimonial authorization
• Navara Health may grant license to platform partners (e.g., social media management firms, marketing contractors) to use the media on the practice's behalf

Third Parties & Other Patients in Media

I understand that:

• Other patients, staff members, or visitors who may appear in shared media (waiting room footage, walk-throughs, behind-the-scenes content) have their own privacy protections and consent on file separately. Navara Health is responsible for obtaining their permissions before using media that identifies them.
• If I personally record or photograph during my visit (using my phone or another device), I am responsible for protecting the privacy of any other patient, staff member, or third party who may appear in my recording. I agree not to share, post, or publish recordings of any other patient or identifiable staff member without their permission. Violating another patient's privacy is a serious matter and may constitute a HIPAA violation if I am acting as an agent of any covered entity.
• Staff members have a separate employment-based release for promotional use of their images; this consent does not override their rights.
• If I capture media of myself during my visit, I am free to share it publicly subject to the third-party protections above, but Navara Health is not responsible for how I use my own captures.

Right to Revoke

• I may revoke my marketing authorization at any time by submitting a written request to contact@navarahealthtx.com
• Revocation applies to future use only; it does not apply to images or recordings already published, distributed, or licensed to third parties
• Revocation does not affect media retained in my medical record under Tier 1 (medical documentation), which is governed by HIPAA recordkeeping requirements
• Navara Health will make a reasonable effort to remove identifiable images from practice-controlled channels (website, owned social media) upon revocation, but cannot guarantee removal from third-party reposts, screenshots, search caches, or archived content
• Once images are publicly available, downstream control is limited

HIPAA & Privacy Cross-Reference

Photographs and recordings of me are considered Protected Health Information (PHI) under HIPAA when associated with my treatment. This consent operates alongside the Navara Health Notice of Privacy Practices and the HIPAA acknowledgment in my General Informed Consent & Practice Policies. By providing Tier 2, 3, or 4 authorization, I am specifically authorizing Navara Health to release my image and/or voice from PHI protection for the purposes I have selected.

Governing Law & Severability

This Consent shall be governed by and construed under the laws of the State of Texas. If any provision is found unenforceable, the remaining provisions shall remain in full force and effect.