Form · Health & Medical Law
Patient information and consent form for AI scribes and AI-assisted care
Plain-English patient information sheet and consent form for clinics using AI scribes or other AI tools with patient data: what is recorded, where data goes, who checks the notes, the right to say no, and state recording-law consent.
- Kind
- Form. A form to complete, or a guide to completing an official one.
- Where it applies
- Australia, New South Wales, Victoria
- AI use
- Yellow AI can help in set ways. A lawyer checks specific points before use.
- Law stated as at
- 17 October 2026
- Status
- Maintained. Checked against the cited sources on 17 October 2026.
- Version
- 1
- Source
- Written for this library
When to use it
Use for a clinic or practitioner introducing an ambient AI scribe or another AI tool that processes identifiable patient information. Complete it only after the vendor's data terms and the tool's regulatory status have been checked.
How AI may be used
AI can draft the information sheet from the vendor papers and the clinic's workflow, but health information is sensitive information, so a lawyer checks the privacy, recording-law and consent content against the actual tool before use.
AI may
- Turn the vendor's data-flow description and the clinic's workflow into the plain-English answers in Part A.
- Check readability and produce a shorter version for display in the waiting room.
- List vendor terms that conflict with the statements in the form.
AI must not
- Must not state where data is stored, how long it is kept or whether it trains models unless the vendor contract confirms it.
- Must not be tested with real patient recordings or notes.
- Must not describe the tool as not a medical device without checking its intended purpose and features.
The lawyer checks
- Every statement about storage, retention, overseas disclosure and training matches the vendor contract.
- State recording law is satisfied for every person in the room (patient, carer, interpreter, student).
- The process lets patients refuse or withdraw without any effect on their care.
- The tool's features have been checked for medical device status (for example, whether it suggests diagnoses).
Method: how the Green, Yellow and Red levels are decided. This is guidance for planning, not legal advice.
Official form
Open the official form. Always use the current version from the issuer.
Read the full text
The full text is for signed-in accounts. It is free. When you sign in you can:
- read the whole precedent, with its drafting notes beside it;
- copy it, or download it as a Word file or Markdown;
- add it to your firm’s knowledge base, so colleagues can find it;
- let the AI tools you connect read it from that knowledge base.
The summary, the law it rests on and the AI-use guidance above stay public. Privacy.
More in Health & Medical Law
- Practitioner's response to an Ahpra notification or proposed immediate action
- Request for access to health records (patient or authorised representative), with state and NZ variants
- Memo: is this AI tool regulated software as a medical device?
- Open disclosure follow-up letter after an adverse event (health service)
- Memo assessing a mandatory notification obligation under the National Law
All precedents for Health & Medical Law · Tasks and AI use in this area