With your permission, [practice name] records therapy sessions with Safeclip, a program that runs on your therapist’s computer. Safeclip uses artificial intelligence for one purpose: to turn the recording into a written transcript and a draft summary that helps your therapist write session notes. Your therapist reviews and edits every note. The program does not make decisions about your care, does not talk with you, and does not create treatment plans.
The recording, transcript and draft are created and stored on your therapist’s computer, which is protected by a password and encryption. They are not sent to Safeclip, the company that makes the program, and they are not used to train AI models. The audio is deleted [after the note is written / within __ days]. The final note becomes part of your clinical record and is kept [for __ years / as the law requires]. When therapy ends, [any audio still on the computer is deleted, and your record is kept as described above].
You can say no. You can withdraw your consent at any time by telling your therapist or writing to [contact]; recording stops from then on. Saying no or withdrawing does not affect your care.