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Client consent template

A free, plain-language consent form for using a note-taking assistant in therapy. Print it, adapt it, and use it with or without HavenSpace.

Using a note-taking assistant in our sessions

I use a secure assistant called HavenSpace to help me write my session notes and reflect on my own practice as a therapist.

With your permission, our session is recorded. The recording is turned into a written transcript and then permanently deleted, usually within minutes.

The transcript is used to draft my notes and to give me feedback on my own work. It is not used to diagnose you or to make decisions about you; I remain responsible for your care and for everything in my notes.

Everything is stored securely in the European Union. You are identified only by a code, never by your name. Your information is never used to train AI systems.

Saying no is completely fine and won't affect your therapy in any way. You can change your mind at any time, including during a session; I'll stop recording, and you can ask me to delete what has been recorded.

You have the right to see the information I hold about you and to ask for it to be corrected or deleted.

I have read this information, had the chance to ask questions, and agree to our sessions being recorded and processed as described. I understand I can withdraw my consent at any time.

Client (name or code) and signature

Date

Therapist and signature

Date

Version 2026-10-v1 · Free to use and adapt. Not legal advice.