Free therapy recording consent form — audio or video scope, purpose, access and retention, plus client confirmation or refusal with a right to revoke.
Quick answer
Free therapy recording consent form — audio or video scope, purpose, access and retention, plus client confirmation or refusal with a right to revoke.
Disclaimer: this template supports consent documentation for licensed clinicians. It is not legal advice; recording law (including all-party consent rules) varies by jurisdiction and must be verified before recording anything.
Signature note: agreement is captured as checkbox confirmation plus typed name plus date — an agreement trail for records, not a certified electronic signature.
Recording a session for supervision, training or client notes needs written, per-purpose permission — many jurisdictions require all-party consent, and assumptions create complaints. This authorization form separates audio and video, names the purpose and access, commits to a retention period and includes a revocation path, all confirmed with an agreement trail.
Fillable sample form preview (live once the app is published).
The recording scope, purpose and withdrawal fields.
Separate lines for audio and video so consent matches what actually gets recorded.
Named purposes and access reduce ambiguity later.
Deletion timeline included in the agreement itself.
A clear, dated way to withdraw consent at any point.
From copy to a recording-consent record in four steps.
Import it into your workspace — free.
Fill in purpose, access and retention lines that match your setup.
Recording consent should be asked, never assumed.
Timestamped agreement or refusal stays in the client record.
Who needs it — clinicians recording sessions or supervision.
Document permission before bringing session recordings to supervision.
Standardize recording consent across student clinics.
Agree clearly when clients can keep audio for personal use.
What makes this consent form respect client privacy.
A preview of the real fields — adapt scope and retention lines to your policies.