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Privacy & Data Governance

Dr. Tyler R. Black
Psychiatry Medical Services Inc.

Patient Consent & Privacy Forms

You can download and print consent forms here.

1. Virtual Care & Communication

This form covers the risks and conditions of using email, secure web portals, and video conferencing (Google Meet) for your appointments.

Open Virtual Care Form

2. AI-Assisted Documentation

This form explains how Google Vertex AI (Montreal-based) is used as a digital scribe to assist in clinical reporting with zero data retention and strict physician oversight.

Open AI Consent Form

Your Rights & Recourse

  • You may withdraw your consent for any of these services at any time via written notice.
  • You have the right to access your personal information and clinical records upon request.
  • You may contact the Privacy Officer for any concerns, at the link below.
Privacy Officer: Dr. Tyler R. Black
Contact: privacyofficer@tylerblack.com
Responsible for compliance with PIPA (BC) and PIPEDA (Canada).