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Consent for Use of AI-Assisted Clinical Documentation (DAX Copilot)
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Purpose
Our practice uses an artificial intelligence (AI) tool called DAX Copilot to assist in creating medical documentation during your visit. This technology securely listens to the conversation between you and your clinician and generates a draft clinical note for review.
How It Works
The system records and processes the conversation during your appointment.
The AI generates a draft medical note.
Your clinician carefully reviews, edits, and approves the final documentation before it becomes part of your medical record.
The AI does not make medical decisions or provide medical advice.
Privacy and Security
The system is designed to comply with HIPAA and healthcare privacy regulations.
Your information is encrypted and handled securely.
Audio recordings are not permanently stored unless required for quality assurance under strict privacy protections.
Your data is not sold or used for marketing purposes.
Your Rights
Participation is voluntary.
You may decline or withdraw consent at any time.
If you decline, your visit will proceed with traditional documentation methods.
Your decision will not affect the quality of care you receive.
Risks
As with any electronic system, there is a minimal risk of data breach despite security safeguards.
There is a possibility of transcription errors, which your clinician will review and correct.
Consent
I have read (or had read to me) the information above. I understand the purpose of using DAX Copilot and have had the opportunity to ask questions. I consent to the use of AI-assisted documentation during my visit.
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By submitting your signature, the parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.
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