Media Consent Form

We are reaching out to you for consent to use one or more photographs on Triangle. Inc.’s digital and printed marketing material, which will be used to promote Triangle, Inc. We have a new consent form. You will find helpful information about it below.

Please call Kassi at 781 388 4341 or click here to email if you have any questions.

How to give consent for Triangle, Inc. or others to use a photo or video of you?  

If you want to let a provider use photos of you, you must give your consent in writing. Attached is a form that may be used by DDS or by a provider to give them permission to use and share photos of you. It is your choice to let someone share photos of you.

  • You may choose to give your consent to use only one single photo of you for a specific event, such as an awards ceremony or a conference.
  • You may choose to give your consent to use only one photo of you for several purposes, such as in a brochure, poster or public display or on the provider’s website or social media.
  • You may choose to give your consent to use many images of you for one specific purpose, such as any photo of you dancing at last year’s party to get people excited about this year’s party.
  • You may choose to give your consent to use any photo taken of you for any purpose, such as for any conference or meeting that comes up, or another event.
You have the right to consent to the use of your image in a photo or video. What does that mean?  

When you take photos of yourself or allow others to take a photo of you, you may want to keep them for yourself, or you may decide to share them with others. Sharing happens, for example, when you post pictures on social media sites such as Facebook, Instagram, or X (formerly Twitter). When you share photos of yourself on social media, you are consenting, or saying it is “ok,” for that platform to allow other people to look at them. You can sometimes limit who can see photos, such as limiting to people who are connected to you on the platform. However, once a picture is posted on a social media site, it may be shared by other people.

Sometimes a person who provides services to you may want to use photos of you to share who they are and what they do. A day program or a group home may do this by making a brochure or newsletter, or posting on social media. Sometimes this is to show or explain to people what they do and encourage others to consider using their services.

Before a provider can use a picture of you for any purpose, they must get your consent or permission to use it. You decide whether you want to give your permission or not, and you should never feel pressured to share photo or video of yourself.

Do you have to give consent for Triangle, Inc. or others to use your pictures?

No, it is your choice whether you let a photo or video of you be shared. You do not need to sign this consent form to continue to receive your services. Before you give your consent, you should talk with your Team, your Guardian, or a Friend, who can help you make your decision.

Please complete the form below and click “Submit” when you are done.

Please note: if the form below does not appear or if the screen is white, click here to open it in a new tab.

Accessibility Toolbar