The checklist below suggests some points to consider when undertaking the consent procedure.

1. Is your explanation to the patient clear?
   • Do they know what is going to happen?
   • Do they know the purpose of the photography
   • Do they know who is likely to see the photographs?
2. Do they understand that they can withhold their consent if they so wish and control the extent of photography?
3. Try to avoid blanket coverage of possible uses as it is more likely to put patients off being photographed.
4. Consent to clinical records is implied but additional consent is required for any other use.
5. Expressed written consent is preferable.
6. Giving consent is not irrevocable, the patient is perfectly entitled to change their mind.
7. Working within a framework ‘Code of practice’ eliminates the confusion should we, shouldn’t we and provides consistency in approach between illustrators in the same department.
8. The medical illustrator has an important role in the development, presentation and design of an organised policy.