Consent Form

Mental Health UK would like your permission to use your photo, video and/or quote for a period of five years from today. This may include content being used for the following:
  • websites and internal intranet sites and e-newsletters,
  • social media pages (including, but not limited to Facebook and Twitter),
  • promotional and marketing materials, including press, outdoor and digital,
  • TV, PR / general press and media (local/national newspapers / magazines and broadcast media,
  • Annual impact reports,
  • Programme materials including fundraising packs, promotional and marketing materials and leaflets.
Please complete this form so that we can use the content/ asset which may include photo, audio, video, lived experience story, partnership case study, testimonial etc. Your contact details will remain confidential. 

Your permission will extend to Mental Health UK's four founding charities: Rethink Mental Illness (England), Change Mental Health (Scotland), Adferiad Recovery (Wales) and MindWise (Northern Ireland); as well as our other corporate partners for similar promotional purposes. 

We won't use your content/ asset for anything new if we haven't heard from you for more than 5 years. However, we will be unable to recall anything already in print. 

By clicking yes below, you are confirming all of the following statements:
  • I understand that Mental Health UK wishes to use my content for the purposes outlined above.
  • I understand that the asset/content will be the property of Mental Health UK.
  • I understand that I can withdraw consent at any time by emailing:
       [email protected]


About you




About consent 


If yes: we will use a fictitious name. If no: we will use their first name only.


About you





About consent


If yes: we will use a fictious name. If no: we will use your first name only.