Patient Consent for AI-Assisted Clinical Documentation (Mental Health Services)

Purpose

Our mental health clinic uses secure AI-assisted dictation tools to help clinicians accurately and efficiently document your visit. This consent explains how this technology is used and how your information is protected.

How AI-Assisted Dictation Is Used

  • During or after your appointment, your clinician may use AI-assisted dictation to help create clinical notes.
  • The technology may process spoken information from your session to generate a draft note.
  • All notes are reviewed, edited, and approved by your licensed provider.
  • The AI tool does not provide therapy, diagnosis, or clinical decision-making.

Privacy and Confidentiality

  • The AI system is designed to comply with HIPAA and applicable state and federal privacy laws.
  • Audio is not permanently stored unless required for clinical, legal, or quality purposes.
  • Your mental health information remains confidential and is protected using appropriate security safeguards.

Your Choice

  • Your participation is voluntary.
  • You may decline or withdraw consent at any time without affecting your access to care.
  • If you decline, your provider will document your session using traditional methods.

Patient Consent

By signing below, you acknowledge that you understand and consent to the use of AI-assisted dictation for documentation during your mental health care.

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