At Charlie Brown Therapy, LLC, we are committed to providing you with the best possible treatment. To help us manage our the practice efficiently and enhance our services, we use technology, including certain artificial intelligence (Al) tools. This document explains how we [I] use these tools and asks for your consent to use them as part of your treatment. Your privacy, confidentiality, and the quality of your treatment remain our highest priorities.
How We Use Al Tools Al tools are used strictly for administrative and supplementary support tasks under the direct supervision of your therapist. These tools do not provide therapy, make independent clinical decisions, or interact with you directly.
The specific purposes for which we may use Al now and in the future include:
• Assisting your therapist in drafting and organizing session notes;
• Managing appointment scheduling and/or sending reminders;
• Processing billing and insurance claims;
• Analyzing data to identify therapy trends and track progress, which is always reviewed by your therapist;
• Analyzing business information and generating reports or trends to help me manage my business; or
• Helping to identify and organize external resources or referrals for your use.
How We DO NOT Use Al Tools To be clear, we do not use Al to:
• Make independent therapeutic decisions or diagnoses;
• Communicate with you directly to provide therapeutic advice;
• Generate treatment recommendations without the direct review, approval, and input of your licensed therapist; or
• Detect or interpret your emotions or mental state.
Right to Revoke Consent: Your consent is voluntary. You have the right to withdraw this consent at any time by notifying your therapist in writing. Revoking your consent will not affect your ability to receive therapy services.
Client Acknowledgment and Consent
By signing below, I confirm that:
I have read and understood this form.
I have had the opportunity to ask questions about the use of Al tools in my treatment.
I voluntarily agree to the use of Al tools for the purposes described above.