Patient Informed Consent
Draft language for practices using Skriber to support clinical documentation during patient visits.
Notice
Before we proceed with your appointment, we want to let you know that this practice may use Skriber, an AI medical documentation platform, to help capture relevant visit information and prepare a draft clinical note for clinician review. Skriber is intended to help your clinician stay focused on the conversation while reducing time spent on administrative documentation.
Your consent is important. Skriber is used only to support the documentation workflow for your care, and your clinician remains responsible for reviewing, editing, and approving the final note.
What you need to know
Purpose of Skriber
Skriber may be used to help capture visit details, generate draft clinical documentation, and reduce manual administrative work during and after the appointment.
Clinician review
Skriber supports documentation workflows but does not replace your clinician's professional judgment. Your clinician reviews and approves notes before they are finalized.
Your information
Information related to your visit may be processed to create clinical documentation. The practice should confirm its storage, retention, and privacy details before using this form.
Your choice
You may ask questions, decline use of Skriber, or withdraw consent. Your care should not be affected by your choice to opt out.
By signing this consent form, you acknowledge that:
- 1. You have been informed that Skriber may be used during your visit.
- 2. You understand Skriber helps create draft documentation for clinician review.
- 3. You understand your clinician remains responsible for the final clinical note and care decisions.
- 4. You understand you may opt out or withdraw consent at any time.
Patient name
Date
Signature
This mockup is for planning and design purposes only. It is not legal advice and should not be used with patients until reviewed and approved by the practice's legal, privacy, and compliance teams.