Federal law: one-party consent
Under the Criminal Code of Canada (Section 184), Canada is a one-party consent country. A conversation can be legally recorded if at least one person in it consents, so a clinician can record their own interaction with a patient under criminal law. This doesn’t override healthcare privacy obligations.Privacy laws: consent to collect health information
Recording a visit is collecting personal health information (PHI), and provincial privacy laws apply:- Ontario: PHIPA (Personal Health Information Protection Act). Requires patient consent to collect PHI, including by recording.
- Alberta: HIA (Health Information Act). Requires express or implied consent to collect health information.
- British Columbia: PIPA (Personal Information Protection Act). Consent is required to collect and use personal information.
- Quebec: Private Sector Privacy Act. Clear consent is required to collect any identifiable information.
Best practices with AI Scribe
1
Tell the patient at the start of the visit that the conversation will be recorded for documentation.
2
Get verbal consent, for example: "To help me focus on your care and document accurately, I'll be using a secure AI tool to transcribe our conversation. Is that okay with you?"
3
Document the consent in the visit note if your clinic's policy requires it.
4
Include written consent in your intake forms when possible.
Sample consent clause for intake forms
Consent to Record Visits for Documentation I understand that my healthcare provider may record my visit using a secure tool to create accurate clinical documentation. The recording is used solely to generate my medical note and is protected under applicable privacy laws. ☐ I consent to the recording of my visit for documentation purposes.How Chartnote protects recordings
- Recordings and notes are processed on HIPAA- and PIPEDA-compliant infrastructure, and our AI vendors are under zero data retention agreements.
- Data is encrypted in transit and at rest.
- No identifiable information is used for training or shared with third parties.
- You can delete notes at any time. Deleted notes go to the Trash for 30 days, then they’re permanently deleted.
- You can set one retention policy that automatically deletes notes, audio and transcripts after 1 to 90 days. See Set note retention and automatic deletion.
Related articles
- Do I Need Patient Consent to Use an AI Scribe? (Is Verbal Consent Enough?)
- Sample Consent Form for AI Scribe
- Chartnote privacy and security: HIPAA and SOC 2

