KNOWLEDGE BASE
FORM
AI-Assisted Clinical Transcription Opt-Out Form
Document No:
FORM-500a
Version:
1.0
Approved by:
Management
Effective Date:
30/06/2026
Review Date:
30/06/2027
Purpose
The AI-Assisted Clinical Transcription Opt-Out Form records a patient's decision to withdraw or decline consent for the use of AI-assisted clinical transcription during consultations. The form ensures that a patient's preferences are documented and respected, supporting patient choice, privacy and informed consent.
Management is responsible for maintaining the AI-Assisted Clinical Transcription Opt-Out Form. Completed forms are stored within PracSuite as part of the patient's clinical record and are reviewed periodically as part of privacy, information management and clinical governance activities. Treating practitioners are responsible for ensuring this form is completed whenever a patient withdraws or declines consent for AI-assisted clinical transcription and that the patient's consent status is updated within PracSuite.
When is this form used?
This form should be completed whenever a patient:
Declines consent before AI-assisted clinical transcription is used.
Withdraws previously provided consent.
Requests that AI-assisted clinical transcription no longer be used during their consultations.
Patients may withdraw or decline consent at any time without affecting the care or services they receive.
Completing the Form
The treating practitioner should discuss the patient's decision and answer any questions before completing the form.
Once completed:
The completed form should be recorded within the patient's clinical record.
The patient's consent status should be updated within PracSuite.
AI-assisted clinical transcription must not be used for future consultations unless the patient subsequently provides new written consent using FORM-005 AI-Assisted Clinical Transcription Consent Form.
Patients who choose not to use AI-assisted clinical transcription will continue to receive the same standard of care, with clinical documentation completed using the organisation's standard documentation processes.