HEIDI CONSENT FORM Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.PATIENT INFORMED CONSENT NOTICE UTILISATION OF HEIDI AI MEDICAL SCRIBE Notice: Before we proceed with your appointment, we want to inform you about an important aspect of how we are now documenting our consultations. We are now utilising a note taking tool called Heidi to accurately and efficiently capture the details of our discussions and the outcomes of our appointments. Heidi ensures that we can focus more on our conversation and less on manual note taking, enhancing the quality of care you receive. Your consent is crucial for us to use this technology. Please understand that your information will be handled with the utmost care, and Heidi’s use is aimed solely at improving your healthcare experience. By signing this consent form, you are agreeing to allow your Clinician to use Heidi during this consultation and all future consultations. Read more about Heidi here. I am filling this out *on behalf of a child in my careas an adult for my own therapy sessionsParent/Guardian Name *FirstLastClient Name *FirstLastEmail *Do you consent to your clinician using Heidi AI Medical Scribe to record and document your consultations (now and in future), with your information handled securely to support your care? *YesNo Today's securely (now Do you consent to your child's clinician using Heidi AI Medical Scribe to record and document consultations (now and in future), with your child's information handled securely to support their care? *YesNoSignature * Clear Signature Today's Date *Submit
