Consent Agreement for the Recording and Processing of Data for Therapeutic Purposes

MindLifeline ASSOCIATION
Address: Bucharest, Cernișoara Street, No. 51, Building O13, Section 1, Apt. 28
Postal Code: 061015
C.I.F.: 46743259
Certificate: 103/17.08.2022
Registry of Associations and Foundations: 2597/A/2022

Consent for Recording and Processing Data in the Therapeutic Process

I, [Name and Surname], identified by [ID Number or other legal identifier, if required], residing at [Address], hereby agree to the following:
   1.    Purpose of Recording and Data Usage
I consent to the creation of audio/video recordings or written notes during therapeutic sessions solely to support the therapeutic process.
   2.    Access to the Recordings
The recordings will be accessible only to the therapist, the client, and, in limited cases, authorized personnel of the MindLifeline ASSOCIATION in accordance with internal confidentiality policies.
   3.    Data Storage and Deletion
   •    The recordings will be stored under maximum security conditions.
   •    The data will be permanently deleted 6 months after the therapeutic process ends, specifically after the last psychological assessment conducted 6 months following the conclusion of therapy.
   4.    Client Rights
I am informed that I have the right to:
   •    Access the created recordings.
   •    Request corrections or deletion of the recordings if I believe my rights have been violated.
   •    Withdraw this consent at any time without affecting the validity of the processing performed before the withdrawal.
   5.    Data Security
The MindLifeline ASSOCIATION ensures that my data is protected according to GDPR provisions and will not be used for purposes other than those stated.

Client Signature: _________
Date: _________

Therapist Signature: _________
Date: _________