Consent to use of Photos Form I give the office of Dr. Nicholas Ising permission to use my before and after orthodontic treatment photographs for use in the office, on our website (https://isingortho.com), on our Facebook page, and for any other educational or informative materials. You have the right to revoke this at any time. Thank you for letting us display your smile! Patients Name: Signature of Patient or Legal Guardian: Date: MM slash DD slash YYYY
