HIPAA-Compliant Consent for Video and Audio Recordings in Electronic Health Records

Purpose of the Consent

This consent form is designed to inform you about the use of video and audio recordings as part of your Electronic Health Records (EHR). These recordings will be used for clinical documentation, healthcare operations, and/or educational purposes, as outlined below. Your privacy and confidentiality are of utmost importance to us, and we comply with the Health Insurance Portability and Accountability Act (HIPAA) to protect your personal health information (PHI).

Types of Recordings

• Video Recordings: Capture visual information about your medical condition and treatment.
• Audio Recordings: Capture spoken interactions between you and your healthcare provider.

Uses of Recordings

1. Clinical Documentation: Recordings may be used to document your medical condition, treatment, and interactions with healthcare providers to improve the accuracy of your EHR.
2. Healthcare Operations: Recordings may be used for purposes related to the management of your care, including quality assurance, training, and compliance with legal and regulatory requirements.
3. Educational Purposes: With your additional consent, recordings may be used for educational purposes, such as training healthcare professionals.

Privacy and Confidentiality

Your recordings are considered PHI and will be stored securely within our EHR system. Only authorized personnel who require access to your recordings to perform their job functions will be able to view or listen to them. We implement appropriate administrative, technical, and physical safeguards to protect the confidentiality and security of your recordings.

Right to Revoke Consent

You have the right to revoke your consent to the use of video and audio recordings at any time by notifying us in writing. However, any recordings made prior to the revocation of consent may still be used as described in this form.

Voluntary Participation

Your participation is voluntary, and your decision to consent or not will not affect the quality of care you receive. You will not be penalized or denied healthcare services if you choose not to consent to video or audio recordings.

Contact Information

If you have any questions or concerns about this consent form or your rights under HIPAA, please contact our Privacy Officer at:

Cliff Capdevielle
cliff@fastlabtech.com
Fast Lab Tech
1178 Broadway New York, NY 10001