Consent for AI-Assisted Clinical Documentation

I, _________________________ (Client Name), understand and acknowledge the following:

Purpose of AI Assistance

My therapist uses Mozu, a secure AI-assisted clinical tool, to help document our sessions. The purpose of this tool is to:

• Create highly accurate clinical notes.
• Allow my therapist to maintain eye contact and stay fully present without the distraction of typing or writing.
• Ensure nothing important is missed in my care plan.

How It Works

• Our session audio is captured securely through the Mozu platform.
• The audio is transcribed and processed by artificial intelligence to generate a draft for my therapist.
• My therapist reviews, edits, and approves the final notes.

Important: The raw audio file is temporary. It is deleted automatically after the text notes are generated and verified.

Privacy and Security

I understand that:

• Mozu is HIPAA compliant and uses bank-level encryption.
• My information is protected under the same strict confidentiality standards as all my medical records.
• Audio is not permanently stored. It is used solely to generate the written note and then purged.
• Mozu does not sell my data or use my personal health information to train public AI models.

My Rights

I have the right to:

• Decline the use of AI documentation at any time.
• Ask for the device to be paused during specific moments of our session.
• Request a copy of my clinical notes.
• Withdraw this consent at any time without affecting my treatment.

Consent Statement

Questions?

If you have questions about how Mozu works or how your information is protected, please ask your therapist or contact: