Request to Film at Fred Hutch

Please review Fred Hutch’s  Film Authorization Agreement prior to submitting your request and note that:

All requests to film at Fred Hutch facilities must be submitted to the Media Relations team and will be reviewed and considered on a case-by-case basis.
We require at least two weeks to review and vet requests prior to scheduling any filming.
If approved, the entity will be required to:
- Sign the Fred Hutch Film Authorization Agreement.
- Provide proof of liability insurance coverage in the amount of $1 million for property damage and $2 million for injury or death.
- Share the final video with Fred Hutch for review and approval prior to release.

Request to Film at Fred Hutch

Requestor's Information

Name * [* = required]

Phone Number * [* = required]

Email Address * [* = required]

Organization * [* = required]

Relationship to Fred Hutch * [* = required]

Name of Your Fred Hutch contact [* = required]

Project Details

Film Date(s) * [* = required]

Film Time(s) * [* = required]

Specific Location(s) to be Filmed * [* = required]

Specific Description of Scene(s) You Intend to Film * [* = required]

For example, interview, b-roll, appointment, etc.

Person or Persons to be Filmed * [* = required]

Are you asking to film any Fred Hutch patients? * [* = required]

Please specify, yes or no.

*If approved, HIPAA Authorizations and consent and release forms must be obtained prior to filming.

Production Company Information

Video Production Company Name * [* = required]

Does the video production company have liability insurance coverage in the amount of $1 million for property damage and $2 million for injury or death? * [* = required]

Please specify, yes or no.

Number of People in Video Team for On-Campus Filming * [* = required]

Include any producers, videographers, photographers, etc. who will be at Fred Hutch

Project Purpose

Describe the final video you intend to produce using the scenes filmed at Fred Hutch. [* = required]

Include any other interviews and scenes to be filmed outside of Fred Hutch. 

How will the video be distributed? * [* = required]

 How will the video benefit Fred Hutch’s mission? * [* = required]

If this request is related to an event or conference, please provide details. [* = required]

Is there anything else you want to share about your project to help us evaluate your request? [* = required]

Click on the “Submit the Request” button below to email your completed request to the Media Relations team for review. Submitting this form is not a guarantee of approval for your request to film at Fred Hutch.