The Medical Student whom you are seeing today, is hoping to make video recordings of some patient consultations. The videos are used by GP educators to teach students communication and consultation skills.

Intimate examinations will not be recorded. You may change your mind and withdraw your consent at any time during the recording, and the camera will be switched off.

Only people directly involved in the teaching will see the video. Recordings are stored on an encrypted, secure online platform. Recordings will be subject to the same degree of confidentiality as your medical records.

The recording will be erased as soon as practicable, and all recordings will be automatically deleted within a maximum timeframe of six weeks.

You are under no obligation to agree to your consultation being recorded. If you do not want your consultation to be recorded, please inform the reception team. This is not a problem and will not affect your consultation in any way.

If you wish, you may view the recording before confirming your consent.

If you consent to this consultation being recorded, please sign below.

We request our students to obtain both your signed written and verbal consent, at the start and end of the consultation. We ask students to demonstrate the signed consent form to the camera. Your consent forms will not leave the practice.

Thank you very much for speaking to our Medical Student today.