Client Consent Form

A simple consent form for therapists using AI-assisted note-taking. Free to download and use in your practice.

Your practice details (optional)

Fill these in to pre-populate the form below. Leave blank to print and fill by hand.

About Your Therapist’s Note-Taking Tool

Practice Name: 
Therapist Name: 
Address: 
Phone: 

How It Works

Your therapist uses Scribular, a note-taking tool installed on their computer, to help draft session notes. It listens to the session, creates a written draft, and your therapist reviews and edits it before anything is saved to your record. Like any writing tool, Scribular may produce errors in its drafts. Your therapist checks and corrects everything before it goes into your record.

Scribular uses local AI that runs entirely on your therapist’s own computer. Your session audio is never stored, and transcripts and summaries are not retained longer than needed to write the note. Nothing is sent to the internet or cloud, and nothing is stored by any outside company. Think of it like a word processor that helps with the first draft. Everything stays on the device in front of your therapist.

To learn more about how Scribular works, visit scribular.com/about.

Why Your Therapist Uses It

Writing clinical notes takes time — often hours after a full day of sessions. Scribular handles the first draft so your therapist can spend that time reviewing and reflecting on your care instead of typing from memory. It’s a writing tool, not a clinical tool. Your therapist’s judgment, attention, and expertise remain at the center of your care.

Your Choices

You can opt out at any time. If you’d prefer your therapist take notes without Scribular, just let them know. It won’t affect your care.

This consent applies specifically to Scribular. If your therapist changes to a different tool in the future, they will let you know and ask for your consent again.


Client Signature:
Date:
Therapist Signature:
Date:

Why a consent form matters

The APA's June 2025 guidance on AI in clinical practice recommends informed consent when AI tools are used in session documentation. Clients deserve to know how their notes are being written, even when everything stays on one device.

Looking for AI-assisted notes that stay on your device?

Scribular processes sessions entirely on your computer. No cloud, no data collection. Everything stays on your machine.

Try Scribular Free