Permission from client to record sessions – Video / audio / photo

DOWNLOAD PDF HERE

Recording A Session – Permissions

The following type(s) of recording will be permitted during this session:

p Still Photography

p Video

p Audio

The following use recording(s) will be produced during this session:

p Commercial Public Distribution

p Non-Commercial Public Distribution

p Commercial Private Distribution

p Non-Commercial Private Distribution

p Destroyed upon completion of the session

p None

The following post-production is required prior to release for specified use:

p Obliteration of identifiable features

p Approval of post-production product by participants

p Duplication of all original recordings for participant(s) personal use

p None

Ownership and copyright of all session recording(s) are hereby assigned to the following person(s) with interests and / or restrictions as
annotated:

________________________________________________________________

________________________________________________________________

________________________________________________________________

via Blogger http://ift.tt/1D8VL5V

Permission from client to record sessions – Video / audio / photo

DOWNLOAD PDF HERE

Recording A Session – Permissions

The following type(s) of recording will be permitted during this session:

Still Photography

Video

Audio

The following use recording(s) will be produced during this session:

Commercial Public Distribution

Non-Commercial Public Distribution

Commercial Private Distribution

Non-Commercial Private Distribution

Destroyed upon completion of the session

None

The following post-production is required prior to release for specified use:

Obliteration of identifiable features

Approval of post-production product by participants

Duplication of all original recordings for participant(s) personal use

None

Ownership and copyright of all session recording(s) are hereby assigned to the following person(s) with interests and / or restrictions as
annotated:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

via Blogger http://ift.tt/1D8VL5V

Session Client Medical History – A form to record health / wellbeing.

LINK TO DOWNLOAD

Medical History

Name:

Last STD Test: : ____ _____________ , 20 ___

Do you have a Trichomonas or Yeast Infection?

Yes No

Have you tested Herpes 1 or 2 positive?

Yes No

Have you tested HIV positive?

Yes No

Do you have any current symptoms or historical medical problems involving:

Heart

Liver

Lungs

Kidneys

Bladder, Colon or Rectum

Dental

Neck or Spinal Cord

Bones or Joints

Muscles

Mucus Membranes Nasal, Oral, Genital

Psychological

Other: ___________________________

Do you have current symptoms or a medical history of:

Hyperventilation

Seizures

Dizzy Spells

Diabetes

High Blood Pressure

Fainting

Asthma

Other: ___________________________

Do you wear contact lenses or prescription glasses?

Yes No

Do you suffer from any fears or phobias?

If so, please describe:

________________________________________________________________

________________________________________________________________

Yes No

Do you have any surgical implants?

If so, please describe:

________________________________________________________________

Yes No

Do you have any piercings of your:

Ear(s)

Nose

Eyebrow(s)

Tongue

Nipple(s)

Navel

Genitals

Other: ______________________________

Are you currently taking any of the following over-the-counter medications:

Aspirin

Anti-Inflammatory

Antihistamine

Decongestant

Expectorant

Other: ______________________________

List all prescription medications you currently take:

_______________________________________

_______________________________________

_______________________________________

_______________________________________

Known Allergies including tapes and contraceptives:

_______________________________________

_______________________________________

_______________________________________

_______________________________________

In case of emergency notify: _____________________________________________________________________

via Blogger http://ift.tt/1xliHgj

Session Client Medical History – A form to record health / wellbeing.

LINK TO DOWNLOAD

Medical History

Name:

Last STD Test: : ____ _____________ , 20 ___

Do you have a Trichomonas or Yeast Infection?

Yes No

Have you tested Herpes 1 or 2 positive?

Yes No

Have you tested HIV positive?

Yes No

Do you have any current symptoms or historical medical problems involving:

Heart

Liver

Lungs

Kidneys

Bladder, Colon or Rectum

Dental

Neck or Spinal Cord

Bones or Joints

Muscles

Mucus Membranes Nasal, Oral, Genital

Psychological

Other: ___________________________

Do you have current symptoms or a medical history of:

Hyperventilation

Seizures

Dizzy Spells

Diabetes

High Blood Pressure

Fainting

Asthma

Other: ___________________________

Do you wear contact lenses or prescription glasses?

Yes No

Do you suffer from any fears or phobias?

If so, please describe:

________________________________________________________________

________________________________________________________________

Yes No

Do you have any surgical implants?

If so, please describe:

________________________________________________________________

Yes No

Do you have any piercings of your:

Ear(s)

Nose

Eyebrow(s)

Tongue

Nipple(s)

Navel

Genitals

Other: ______________________________

Are you currently taking any of the following over-the-counter medications:

Aspirin

Anti-Inflammatory

Antihistamine

Decongestant

Expectorant

Other: ______________________________

List all prescription medications you currently take:

_______________________________________

_______________________________________

_______________________________________

_______________________________________

Known Allergies including tapes and contraceptives:

_______________________________________

_______________________________________

_______________________________________

_______________________________________

In case of emergency notify: _____________________________________________________________________

via Blogger http://ift.tt/1xliHgj