Your therapist uses TheraPro, a HIPAA-compliant technology platform that uses artificial intelligence (AI) to assist with drafting clinical notes and producing insights from your sessions, with the goal of helping your therapist provide you the best care possible. These notes and insights are confidential to your therapist and any data generated by or stored in TheraPro will be treated with the high standards of privacy and security required by HIPAA regulations.
Your therapist has a Business Associate Agreement (BAA) with TheraPro AI, Inc., the provider of the TheraPro platform. This BAA governs TheraPro’s obligations with respect to how data from your sessions are used and protected. TheraPro temporarily records audio from your session, then produces a clinical summary of and/or insights from the session for purposes of record-keeping and helping your therapist provide you with high-quality care. Recordings are temporary processing files that are automatically deleted after a limited operational period once they are no longer needed for session processing, quality assurance, troubleshooting, or reprocessing where appropriate. In some cases, your therapist may also have access to a full transcript of your session, which, like the clinical notes and session insights, is treated as a confidential health record and protected under HIPAA.
TheraPro may also use de-identified data, meaning data from which personally identifying information has been removed, to improve its services and offerings, to develop and evaluate its own AI models and systems, and to support research and analytics. TheraPro does not allow third parties to use data from your sessions to train, fine-tune, or improve third-party AI models. Depending on your therapist’s or their organization’s settings, TheraPro may not use even de-identified session data for these purposes.
TheraPro and its partners employ a variety of technology and policy safeguards to process your data and protect the TheraPro platform. These safeguards include using advanced encryption to secure your personal information, using technical measures to prevent unauthorized system access, and employing security professionals and tools that monitor its operations. TheraPro follows HIPAA policies and safeguards to help keep your data safe and secure. TheraPro has BAAs in place with any third-party partner that may process protected health information (PHI).
You acknowledge that you have read and understood this informed consent statement; that you have had the opportunity to discuss it with your therapist; and that you consent to and authorize receiving services under the conditions outlined here.
Name:
Signature:
Date:
If the individual receiving services is a minor under applicable law, I affirm that I am the minor’s parent or legal guardian and that I authorize the use of TheraPro as part of the minor’s treatment, including the collection, analysis, and secure handling of the minor’s data as described above.
Name of Minor:
Name of Parent/Guardian:
Relationship to Minor:
Signature of Parent/Guardian:
Date:
Copyright © 2025-2026 TheraPro AI, Inc. All rights reserved. This sample consent form is provided as a service to TheraPro clinicians for informational purposes only and does not constitute legal advice nor establish a lawyer-client relationship. Disclosure requirements and best practices may vary by jurisdiction. Please consult with your applicable professional organization and/or seek the advice of legal counsel for guidance. V4 06242026