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Patient Consent for AI-Assisted Clinical Documentation

PodScribe by podiatry-scribe.com

Practice Information

Patient Information

Why Does My Provider Use AI-Assisted Documentation?

AI-assisted documentation allows your provider to focus on you during your visit -- listening, examining, and talking with you -- instead of typing into a computer or clicking through screens. By handling the documentation in the background, your provider can give you their full attention, spend more time addressing your concerns, and still produce thorough, accurate clinical records.

Permission to Record Your Visit

There is one thing we need your permission for. Please circle or check one option: I CONSENT or I DO NOT CONSENT.

Audio recording of your visit I CONSENT I DO NOT CONSENT

I give my healthcare provider permission to record the audio of my visit so it can be turned into written text for my chart. I understand that:

  • No audio recording is permanently stored. Audio is used solely for transcription and is discarded immediately after the transcript is generated.
  • The written transcript is not part of my medical record. It is working material my provider uses to write the visit note. Whether the transcript is kept after the note is written, and for how long, is decided by my provider's practice. Questions about that should go to the practice.
  • My personal identifiers are automatically stripped from the transcript before it is processed by AI. The AI never sees my real name, date of birth, Social Security number, insurance IDs, or other identifying information.
  • PodScribe uses an enterprise-grade, proprietary de-identification engine to protect my information during AI processing.
  • Transcripts are never used to train or improve AI models.
  • All data is encrypted with AES-256 at rest and TLS 1.2+ in transit, and processed exclusively on US-based HIPAA-compliant Azure servers.
  • My provider reviews and edits the AI-written draft before signing it. Only the note my provider signs is my medical record. The audio, the written transcript, and the AI draft are not part of my medical record.
  • How long things are kept: audio, never. The transcript is kept or not kept according to the practice's setting, marked below. The signed note is kept under the practice's normal record-keeping rules.
  • Others in the room: if a family member, caregiver, or interpreter is with me, they will be told the visit is being recorded and may ask that the recording stop at any time.
This practice's transcript setting (marked by the practice)

The transcript is not stored. It is removed as soon as the note is written.

The transcript is stored with the note and removed on the practice's record-keeping schedule.

Also good to know (information only -- nothing to sign)
  • Writing the note. Your provider uses PodScribe to turn that text into the written note for your chart. Your identifying details are removed the same way, and your provider reviews and approves every note before it becomes part of your record.
  • Paperwork about your care. Your practice may also use PodScribe to read documents related to your care -- referral letters, insurance denials, explanations of benefits. No audio is involved, identifying details are removed before processing, and your provider reviews the result.

Duration and Right to Revoke

This permission remains in effect indefinitely until revoked. You may revoke it at any time by notifying your healthcare provider in writing (in person, by mail, or by secure email). Revocation takes effect upon receipt and does not affect any documentation or processing that occurred before it. If you decline, you will still be seen and treated exactly the same -- your provider will simply write the note another way. You may also give permission later by completing a new form. There is no audio to delete after your visit, because none is kept; questions about the transcript of a visit go to the practice.

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