Consent Form for Recording

 
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Consent to Video Recording for Assessment Purposes

Your GP is supervising a trainee GP/medical student today who is videoing their surgery.

We hope to use these videos to help trainees check how well they communicate with patients in the consultation and help to make them better doctors of the future.

The video is only of you and the student doctor talking together. No intimate examination will be done in front of the camera.

The video will be seen only by the trainee and the doctor supervising him/her. Within your practice it will be stored in a locked cabinet and is subject to the same degree of confidentiality and security as medical records. The recording will be erased as soon as it has been reviewed by the tutor and student, and certainly within 6 weeks of the recording.

The clinician is responsible for the security of your recording.

You do not have to agree to your consultation with the student being recorded.

  • If you want the camera turned off, please tell Reception - this is not a problem, and will not affect your consultation in any way.
  • You may also ask for the recording to be stopped and withdraw your consent at any time.
To be completed by the patient

Privacy Consent

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