--- title: "Informed Consent Form for Therapy (India)" url: "https://www.ellomind.com/ai-tools-for-psychologists/informed-consent-form/" description: "Free tool to draft an informed consent form for therapy in India, in plain language. DPDP-aware, editable, works in any AI assistant. A starting template, not legal advice." --- Consent # 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. ## About this tool An informed consent form sets the frame for the whole therapeutic relationship: what the service is, its limits, how data is handled, and what happens in a crisis. India-appropriate wording that also reflects the DPDP Act is not easy to write from scratch. Use this to draft a first version for your practice, then adapt it to your mode and fees. It is a starting template, not legal advice, so have it reviewed by a qualified professional or legal advisor before you use it with clients. ## How to use it 1. 1 Copy the prompt above, or download it as a file. 2. 2 Open your AI assistant (Claude, ChatGPT, Gemini, or any LLM). 3. 3 Paste the prompt, then add your practice details (or let it use placeholders). 4. 4 Review 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: Copy prompt Download as .md ## What it looks like Your input Clinical psychologist, video sessions only, first session free then Rs 1499, 24-hour cancellation. Draft output Consent 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 What should an informed consent form for therapy include in India? + 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. Is this a legally valid consent form? + 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. Can I customise it for online or video sessions? + Yes. Tell the assistant your session mode, fees and details, and it adapts the template, including privacy and backup-contact clauses for video sessions. ## More free tools for psychologists [Privacy De-identify client notes](/ai-tools-for-psychologists/de-identify-client-notes/) [Supervision Supervision note](/ai-tools-for-psychologists/supervision-note/) [Client materials Psychoeducation handout](/ai-tools-for-psychologists/psychoeducation-handout/) [Compliance DPDP & RCI compliance check](/ai-tools-for-psychologists/dpdp-rci-compliance-check/) [Client materials CBT thought record](/ai-tools-for-psychologists/cbt-thought-record/) [Client materials DBT skills handout](/ai-tools-for-psychologists/dbt-skills-handout/) [Professional development Reflective practice log](/ai-tools-for-psychologists/reflective-practice-log/) [Practice operations Boundary & cancellation messages](/ai-tools-for-psychologists/boundary-message-templates/) [Practice operations Clinical message drafter](/ai-tools-for-psychologists/clinical-message-drafter/) 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](/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. [Back to all tools](/ai-tools-for-psychologists/)