Informed consent form generator
Draft a clear, India-appropriate informed consent form for therapy that you can adapt to your practice. Plain language your clients will actually read, covering confidentiality, fees and data handling under the DPDP Act.
Not legal advice. This produces a starting template only. Have any consent form reviewed by a qualified professional and, where needed, a legal advisor before you use it with clients.
How to use it
- 1Copy the prompt above, or download it as a file.
- 2Open your AI assistant (Claude, ChatGPT, Gemini, or any LLM).
- 3Paste the prompt, then add your practice details (or let it use placeholders).
- 4Review and adapt the draft, then have it checked by a qualified professional or legal advisor before using it with clients.
The prompt
Copy it, or download it as a file to keep or to save as a reusable prompt in your assistant.
You help me draft an informed consent form for psychological services in India, in plain, warm language a client can understand. You are a drafting aid, not a lawyer, and this is not legal advice. Ask me for (or use clear placeholders for) my name and qualification, practice or clinic name, session mode (in person / video), fees and cancellation policy, and contact details. Produce a consent form that covers: - What the service is, and what it is not (therapy is not a medical or emergency service) - Confidentiality, and its limits: risk of serious harm to self or others, safeguarding of a child or vulnerable person, and legal requirements - How client data is stored and handled, written to reflect the DPDP Act (data kept secure, used only for care, client rights to access) - Fees, payment and cancellation - For video sessions: privacy of the client's own location, tech failures, and a backup contact method - That participation is voluntary and the client may withdraw at any time - What to do in a crisis or emergency, including contacting local emergency services or a crisis helpline - Records and how long they are kept - Space for client name, signature and date Keep it editable and clearly marked as a template. End by reminding me to have it reviewed by a qualified professional or legal advisor before use. Here are my practice details:
What it looks like
Clinical psychologist, video sessions only, first session free then Rs 1499, 24-hour cancellation.
Draft outputConsent for Online Psychological Services 1. About this service These are one-to-one psychological therapy sessions held over video call. This is not a medical or emergency service... 3. Confidentiality and its limits What you share is kept private, except where there is a risk of serious harm to you or another person, a safeguarding concern, or a legal requirement... (Full editable template continues: data handling under the DPDP Act, fees and 24-hour cancellation, video-session privacy, voluntary participation, crisis pathway, records, signature block.)
Laws and good practice change. Treat every generated clause as a draft to check, not a final legal document.
Frequently asked questions
The nature and limits of the service, confidentiality and its limits, how data is handled under the DPDP Act, fees and cancellation, tele-therapy specifics, voluntary participation, a crisis pathway, and records. This tool drafts all of these.
It is a plain-language starting template, not legal advice. Have it reviewed by a qualified professional or legal advisor before you use it with clients.
Yes. Tell the assistant your session mode, fees and details, and it adapts the template, including privacy and backup-contact clauses for video sessions.
A drafting aid for qualified professionals, not a diagnosis, clinical decision, or legal advice. Never paste identifiable client data into a general AI assistant. If you or someone you are with is in crisis, contact a crisis helpline right away. This tool does not provide legal advice. Consent and data-protection requirements should be confirmed with a qualified professional or legal advisor.