Forms

Online Lecture Capture Request Forms

  • Lecture Capture Request for Course Recordings: Use this form to request the capture of a regularly occurring course.

Consent Forms

People not affiliated with the School of Medicine must give written consent for their lecture or presentation to be recorded. Protected Health Information (PHI) can not be recorded under any circumstance, unless the Patient Release and Authorization Form (below) is signed and submitted prior to recording. The party requesting the lecture capture is responsible for ensuring that appropriate consent is obtained, and that they are complying with all applicable policies.

  • General Recording and Release Form: Presenters or others being recorded (except audience) not affiliated with the School of Medicine must sign a recording and release form.
  • Patient Release and Authorization Form: In cases where a presentation contains a patient's Protected Health Information, or a patient is speaking about their condition as part of the presentation, this form MUST be signed and submitted prior to recording.