Emory Radiology Spirit Week Photo Submissions

Help us celebrate you and your team by submitting photos corresponding to each day's theme. You can submit up to three photos at one time. If you have more photos, please start the submission process again.

Please indicate below where you give Emory Radiology permission to post your photos: on the Emory Healthcare Intranet (only visible to Emory Healthcare employees), on the Emory Radiology website, in the Emory Radiology Rad Report newsletter, and/or on Emory Radiology's Instagram and X (formerly Twitter) accounts.

Regarding written consent, you only need to submit one signed form for each person and that will cover all photos of that person taken during Radiology Spirit Week. You can find the consent form attached to every Radiology Spirit Week RadComm and online here.

If you need assistance or have any questions, please contact Sam Marie Engle, Emory Radiology Communications Specialist, at sengle@emory.edu

Happy Radiology Spirit Week!

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* 1. Your First Name

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* 2. Your Last Name

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* 3. Location

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* 4. What team is this (for example, Breast Imaging Team, CT Team, IR Team, etc.)?

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* 5. Please upload your photo

Please be sure your photo is clear (not fuzzy or blurry), bright enough so everyone's faces can be seen, and does not contain any personal health information or any non-Emory Healthcare or Emory University employees.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 6. Names of everyone in the photo, from left to right, front to back row. If not a team, leave blank

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* 7. Can this photo be posted on the Emory Healthcare Intranet for the duration of Radiology Spirit Week? A signed consent form is not required.

YES, everyone in the photo consents to having this photo appear on the Emory Healthcare intranet during Radiology Spirit Week

NO, not everyone consents. Do not post this photo on the Emory Healthcare intranet.

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* 8. Can this photo be posted to the Emory Radiology Instagram and X (formerly Twitter) accounts and/or on the Emory Radiology website, and/or the Rad Report?

YES, everyone in the photo consents to having this photo posted to the Emory Radiology Instagram and X (formerly Twitter) social media account.

NO, do not post this photo on Emory Radiology's social media accounts

YES, everyone in this photo consents to having this photo posted on the Emory Radiology website.

NO, do not post this photo on the Emory Radiology website.

YES, everyone in this photo consents to having this photo posted in the Rad Report.

NO, do not post this photo in the Rad Report

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* 9. If you check any YES box in question 8, please upload the signed consent form from everyone in the photo. If the system is unable to accept all forms, email them to sengle@emory.edu. Do NOT submit this form if you only checked YES in question 7.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 10. Do you have another photo?

Yes