Patient Registration Form

This consent seeks your permission to use Medow AI to capture and transcribe conversations between you and your clinician.

• Your clinician may have Medow AI running in the background during your consultation.
• Medow AI will listen to, and transcribe, your conversation.
• The transcribed notes will be reviewed and verified by your clinician before being added to your medical records.

• All notes, letters and transcriptions are securely stored and are only accessible to authorized personnel in our clinic, for a short period of time nominated by your clinician.
• The information captured by Medow AI is treated with the utmost confidentiality in accordance with the Australian Privacy Principles and the Privacy ACT 1988.
• Your personal and medical information will not be shared with any unauthorized third parties.

• You have the right to withdraw your consent at any time without affecting your ongoing care.

By signing below, you acknowledge that you have read and understood the information provided above, as well as that provided verbally by your clinician.  You consent to the use of Medow AI during your consultations and the transcription of your conversations for the purpose of medical documentation.