AI Assisted Medical Documentation & Recording
PATIENT CONSENT FORM
  • Introduction
    Sabita Nandy, your therapist, uses Berries Scribe, an artificial intelligence (AI) system designed to assist with therapy documentation during your visit. This technology helps create accurate therapy records while allowing your therapist to focus more attention on your care.

    What This Consent Covers
    By signing this form, you are giving permission for:

    1. Audio Recording of Your Therapy Visit
    • Your conversation with your provider may be recorded using AI technology
    • These recordings are used solely to generate accurate notes
    • Recordings are processed securely and are not stored permanently
    • Only your therapist has access to these recordings

    2. AI-Generated Medical Notes
    • Artificial intelligence will analyze the recorded conversation to create your therapy notes
    • These AI-generated notes will be reviewed and approved by your therapist
    • Your therapist maintains full responsibility for the accuracy and completeness of your therapy record
    • The AI system assists with documentation but does not make clinical decisions

    Privacy Protection:
    ● All recordings and data are encrypted and handled according to HIPAA regulations
    ● Your personal health information remains confidential and secure
    ● Berries follows strict data protection protocols

    Quality Assurance:
    ● Your healthcare provider reviews all AI-generated notes before they become part of your medical record
    ● You have the right to request corrections to your medical notes
    ● Traditional documentation methods remain available if preferred

    Your Choice:
    ● Participation is voluntary - you may decline without affecting your care
    ● You may withdraw consent at any time during or after your visit
    ● Alternative documentation methods will be used if you choose not to participate
    Data Handling and Security
    ● Audio recordings are processed in real-time and automatically deleted after note generation
    ● No recordings are permanently stored by Berries
    ● All data transmission is encrypted and secure
    ● Only your provider has access to the generated therapy notes
    ● Information is not used for any purpose other than creating your visit documentation

    Benefits
    ● Enhanced Focus: Fully concentrate on the session without the interruption of notetaking.
    ● Effortless Documentation: The service eliminates the need for manual documentation, ensuring seamless capture of information.
    ● Reduced Workload: Mitigates workload and potential burnout, contributing to an improved quality of care.

    While the use of the Berries scribe is designed to optimize the session, it is important to note that choosing not to utilize this service will not have any negative impact on the therapeutic process. Your comfort and autonomy in our sessions remain our top priority.

    Questions or Concerns
    If you have questions about this AI system or your consent, please ask your behavioral healthcare provider (Sabita Nandy)

    PATIENT CONSENT

    I acknowledge that I have:
    ● Read and understood this consent form
    ● Had the opportunity to ask questions about the AI recording and documentation process
    ● Been informed of my rights regarding this technology
    ● Been told that I can withdraw consent at any time
    I voluntarily consent to:
    ● Audio recording of my medical visit by AI technology
    ● AI-assisted generation of my therapy notes
    ● Processing of my therapy session as described above
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