Consent to Use AI-Assisted Note Writing in Therapy

At Spencer Psychology, we are committed to providing thoughtful, effective care. To support this, we use a HIPAA-compliant AI tool called BastionGPT to assist with therapy note writing and generating handouts or other information for you about your treatment or diagnosis. This tool helps organize and summarize key themes from our sessions, allowing your therapist to be more present with you. All notes are carefully reviewed and finalized by your therapist—AI never makes clinical decisions or replaces professional judgment. 

The Process

We use a generic prompt to provide the note structure required by insurance to document your sessions. The session is then recorded, and AI uses the prompt with your session data to write a note. Your therapist later reviews the note, making whatever changes and additions are needed to accurately reflect your session.

Your Privacy and Data Protection

• BastionGPT is HIPAA-compliant and uses encrypted data transfer and storage during recording.
• Recordings are not saved by either the AI program or Spencer Psychology, and are gone immediately after the note has been generated.
• Your information is never sold, used for marketing, or used to train the AI model.
• All AI-generated content is reviewed by your therapist before being added to your chart.

Benefits of Using AI in Therapy

• More time focused on you, less time on paperwork.
•  Enhanced clarity and organization of session notes.
•  Increased approved authorizations from your insurance for continued treatment.

Limitations and Risks

• AI may occasionally misinterpret context or generate inaccurate summaries (your therapist will correct any inaccuracies during the review process).
• As with any technology, there is a small risk of unauthorized data access, though strong security measures are in place.

Your Rights

• You may opt out of AI-assisted documentation at any time, without affecting your care. Your therapist will resume writing your notes manually.
• You may review any notes generated with AI assistance.

Consent Acknowledgment

By checking the box below, you acknowledge that:

• You understand how BastionGPT is used in your care. You’ve had the opportunity to ask questions. You consent to the use of AI-assisted tools in your therapy documentation.
• Your insurance may require preauthorization for mental health services. Spencer Psychology does not obtain preauthorization for out of network insurance policies.
• You may have insurance that you cannot file yourself, and is required to be filed by the provider. You understand that by waiving your benefits, Spencer Psychology will not file your insurance for you, even if the insurance company does not allow clients to file it themselves.

I have read and understand the information provided above. If I wish to cancel this waiver, I will notify Spencer Psychology in writing.

Client Name: Enter client/child name

Electronic Signature of Client/Parent/Guardian: Enter your full name

Date: