Everything you need: consent form template, talking points, data lifecycle, and answers to every question your clients will ask.
From session to chart, and exactly where the data goes at every step.
Audio is recorded on your device and transmitted via encrypted connection. It never touches an unencrypted server.
Audio is converted to text through a HIPAA-compliant pipeline. The transcript is used to generate a clinical note.
Immediately after transcription, the audio file is permanently destroyed. No copies. No backups. Irreversible.
The AI-generated note is a draft. Your provider reads, edits, and approves every note before it enters the medical record.
Only the provider-approved note becomes part of the medical record, protected by the same HIPAA standards as all your health information.
What to say, in order. Adapt to your style. The important thing is covering each point.
Direct answers you can share with clients or reference during the consent conversation.
Use or adapt the language below for your informed consent process. Download an editable template to add your practice details.
Your provider uses JotPsych, an AI-powered clinical documentation tool developed by SmartScribe Corp. JotPsych creates clinical notes from the conversation between you and your provider during appointments. The primary purpose of this technology is to allow your provider to focus on you rather than note-taking, while still maintaining accurate and timely documentation.
Audio from your session is temporarily recorded to generate a clinical note. Immediately after transcription is complete, the audio recording is permanently and irreversibly deleted. No audio is ever stored, retained, or accessible after this point.
JotPsych does not make clinical decisions, diagnose conditions, or replace your provider's professional judgment. It is a documentation tool only. Your provider reviews and approves all notes before they become part of your record.
All data collected and processed by JotPsych is protected with 256-bit encryption in transit and at rest, handled in accordance with HIPAA regulations, and stored in HIPAA-compliant infrastructure. SmartScribe Corp maintains a Business Associate Agreement (BAA) with your healthcare provider.
You have the right to withdraw your consent to the use of JotPsych at any time by notifying your healthcare provider. Withdrawal of consent will not affect the quality or availability of your care. Notes created prior to withdrawal will remain part of your medical record as with any clinical documentation.
By signing below, I acknowledge that I have read and understood the above information, and I voluntarily consent to the use of JotPsych AI-assisted documentation technology during my sessions.
This consent is valid until revoked in writing. | Last updated: April 2026
While requirements vary by state and practice setting, obtaining informed consent for the use of any recording or AI-assisted tool is a clinical best practice and is required by most licensing boards. We strongly recommend always obtaining written consent, both for ethical practice and liability protection.
Yes. Many clinicians add a JotPsych consent section to their existing informed consent or intake paperwork. Others prefer a standalone form for clarity. Either approach works. The downloadable template above is designed to work both ways.
That is entirely their right. Simply proceed with your session without using JotPsych. You can revisit the conversation at a later time if the client is interested. Refusal should never affect the clinical relationship or quality of care.
The same consent form covers both in-person and telehealth sessions. JotPsych processes audio the same way regardless of modality. However, if your state requires separate telehealth consent, you may want to include a note that JotPsych may be used during telehealth appointments as well.
For clients under 18, consent must be obtained from a parent or legal guardian. The sample consent form above includes a parent/guardian signature section. Follow your state's laws regarding the age at which minors can consent to their own treatment, as this may apply to AI documentation consent as well.
Yes. Clients can revoke their consent at any time, verbally or in writing. Once revoked, simply stop using JotPsych for that client's sessions going forward. Notes already created and finalized remain part of the medical record, as with any clinical documentation.
Audio is permanently deleted immediately after transcription. De-identified transcripts may be reviewed on an ad hoc basis for quality assurance and accuracy improvement. No client-identifiable data is used for AI training purposes. This is disclosed in the consent form language above.
No. Audio is permanently deleted immediately after it's used to create your provider's clinical note. JotPsych never retains, stores, or provides access to audio recordings after transcription.
No. Your notes are accessible only to your provider and authorized members of your care team. JotPsych employees cannot access your clinical notes, and all data is encrypted and protected under HIPAA.
You can withdraw your consent at any time. Just let your provider know. They'll stop using JotPsych for your sessions immediately. Notes already created remain in your chart as part of your medical record, the same as any other clinical documentation.
No. JotPsych is a documentation tool only. It writes a draft of your provider's session notes. It does not diagnose, recommend treatment, or make any clinical decisions. Your provider reviews and approves every word before it enters your record.
Yes. Everything you discuss is protected by the same HIPAA regulations and privacy standards that apply to all your healthcare information. The audio is deleted immediately, and your notes are encrypted and accessible only to your care team. Your provider controls what goes into the final note.
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