Consent for AI-Assisted Documentation

Consent for AI-Assisted Documentation

In an effort to provide efficient, high-quality care, Dr Carla Velarde uses an AI-powered documentation tool within CharmHealth to assist in drafting medical notes. This AI system is HIPAA-compliant and designed to streamline documentation while maintaining accuracy and confidentiality.

What This Means:

● The AI tool helps generate draft notes based on our clinical discussions.

● Dr Velarde reviews and edits all notes before they are finalized in your medical record.

● Your information remains protected and is not used to train AI models.


What AI Does Not Do:

● AI does not make medical decisions or replace my clinical judgment.

● AI does not independently store or share your medical information outside of CharmHealth’s secure system.


Your Rights & Choices:

● You have the right to ask questions about this process.

● You can opt out at any time without affecting your care. If you choose to opt out, Dr Velarde will continue to document notes manually.

● Your privacy remains a top priority, and your data is handled according to HIPAA regulations.


Consent Acknowledgment: By signing below, I acknowledge that I have read and understood this form. I consent to the use of AI-assisted documentation for my (or my child’s) medical records within the secure CharmHealth system. I understand that I may revoke this consent at any time in writing.


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