Consent to record sessions

Once you have read the privacy notice which can be accessed on the weblink below, please return to complete the remainder of this form

https://pauljharries.com/privacy-notice 

If you are unable to agree to the processing of your information as outlined in the privacy statement, please contact Paul directly to discuss your concerns.

The purpose of recording sessions is to help Paul Harries to review their interactions with you as part of their professional development. The use of such recordings is becoming more and more commonplace in many types of workplace settings in order to improve the service offered to individuals.

This document may be used only when all individuals have capacity to give informed consent. If capacity is in doubt, recording should not take place and the case should be reviewed.

I, {name}, hereby give consent for Paul Harries to

our session(s). These recordings will be used only to help in the evaluation of Paul Harries's practice. This consent is given on the understanding that the recording(s) will only be heard and/or seen by Paul Harries and their clinical supervisor/mentor and, will not be disseminated further without my explicit consent.

I further understand and give consent on this basis that the recording copies will be stored in line with the GDPR privacy statement (available to review online at:  https://pauljharries.com/privacy-notice) and also any external clinical supervisor/mentor’s privacy statement/protocol  and will be destroyed (by the practitioner, and clinical supervisor/mentor) after the evaluation process is completed and the recording is no longer required.

I understand that refusal to complete this form will not affect my eligibility for receiving services provided by Paul Harries

Your details will be sent to Paul Harries in a secure format once you click submit form.