Can I use the same form for every client?

Adapt the form to the service format, intervention, age, representation and optional choices in each case. This model includes editable fields and a conditional minors annex rather than one answer for everyone.

Should it include permission to record sessions?

Only where that option exists. Recording must be a specific choice that can be refused, with its purpose, providers, access, retention and withdrawal explained. Refusing it does not prevent receiving care without recording.

Does agreeing to care authorise all processing of health data?

No. Consent to care and the lawful basis for processing health data are separate questions. The practice must identify the Article 6 basis and Article 9 condition under GDPR that apply to each purpose.

September 5, 2026Updated October 4, 2026

By Clara Team

Informed consent form model for therapists

Download a short informed consent form for therapists in Spain and Catalonia. The main form covers care, terms and the person's decision; annexes separate privacy, optional permissions and representation. Adapt it before signing: it does not replace an informed conversation or individual legal advice.

Download Word document

Edit the document in Word or Google Docs. Complete and review the fields before signing.

The Word document includes this form plus privacy, optional-permission and representation annexes; complete and provide the privacy information and use the other annexes where applicable.

Short form to copy and adapt

Document preview. This page does not collect information or signatures.

Template to adapt to your practice

Informed consent

1. Practice and person details

Practice: [legal name, tax identification and address].
Professional: [name, qualification and registration number, where applicable].
Person receiving care: [name and necessary identifying details].
Contact and hours: [telephone, email and hours].
Date and version: [date, version and language].

2. Proposed care

Service: [describe; healthcare or non-healthcare and applicable rules]. Goals and methods: [agreed explanation]. Format, location or platform: [in person, online or mixed]. Sessions: [duration and frequency]. Plan review: [date or criterion].

We have discussed expected benefits [describe], possible discomfort or risks [describe], alternatives [other interventions, referral or not starting] and their implications [describe]. Results are not guaranteed. The service excludes [excluded activities].

3. Practical terms

Fees and payment: [amount, method and timing]. Cancellations and missed appointments: [notice and terms]. Contact between sessions: [channel, hours and response limits]. Paying for care does not automatically provide access to clinical information.

This channel is not monitored continuously for emergencies. In immediate danger in Spain, call 112. Other urgent situations: [resource and procedure]. For online care: [privacy, agreed location and emergency contact, connection-loss alternative]. A video call does not authorise recording.

4. Confidentiality and data

Care and its records are subject to confidentiality and professional secrecy. Authorised access: [people or roles and reason]. Limits explained: [legal obligation, court order or risk permitting or requiring disclosure]. Only necessary information will be shared, with notice where possible and legally permitted.

Data controller and privacy contact: [legal name and contact]. Purposes: [care, records and administration]. Retention: [periods or criteria and grounds]. Exercise your rights at [contact] and complain to [competent authority]. The full information in annex 7, version [version], is provided.

Consent to care does not authorise every use of data. Privacy information is not blanket authorisation. Optional permissions are decided separately in annex 8.

5. Decision and withdrawal

I understand the service, its terms, risks, alternatives and confidentiality limits. I have been able to ask questions and receive answers. Agreed questions or adaptations: [record].

Care decision:

[ ] I accept the care described.
[ ] I do not accept for now.

I can change my decision or withdraw permission at [person and channel]; its date and scope will be recorded. Refusing recording or AI allows care to continue without those tools. Withdrawal does not affect the lawfulness of earlier processing based on that consent or erase records that must legally be retained.

6. Signatures and copy

Signing records the conversation and marked decisions. A blank field is not authorisation.

Person receiving care: [name, signature, place and date].
Professional: [name, signature and date].
Representative, only where applicable: [identity, verified authority and signature; complete annex 9].
Copy provided: [person, date and method].
Review: [date or reason].

Before using it

Complete the fields and explain goals, risks and alternatives using the informed consent guide. Answer questions, record decisions and provide a copy.

The Article 6 basis and Article 9 condition under GDPR depend on each purpose. Article 9(2)(h) may apply to healthcare where its requirements, including professional secrecy, are met; not to every psychological service. Complete and provide the privacy annex using the data protection guide.

Include only optional permissions your practice actually offers. Review minors, online therapy and recording, and retain changes using the consent management guide.

Clara lets you share the form and keep responses, signatures and status alongside the clinical record. Explore consent management for therapists.

Official sources

Law 41/2002 on patient autonomy: information, consent, representation and clinical records.
Regulation (EU) 2016/679: lawful bases, information and rights.
Catalonia's Law 21/2000: autonomy and clinical records in Catalonia; check applicability.

Updated 4 October 2026. Template to adapt, not a guarantee of compliance.