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Consent Form Notice to Facility for Authorized Electronic Monitoring Mobile App

The Consent Form Notice to Facility for Authorized Electronic Monitoring mobile app offers a simple way to manage electronic monitoring consent using a smartphone or tablet. Designed for facilities that utilize electronic surveillance, the app helps ensure that employees, residents and visitors understand their rights when it comes to recording devices and video surveillance.

Gaining electronic monitoring consent is an important step that must be followed whenever conversations and images of employees, visitors or residents are captured. Once the electronic consent form has been completed, the app saves the results electronically for your records.

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Take a peek inside the Consent Form Notice to Facility for Authorized Electronic Monitoring Mobile App

Included Features

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Included Fields

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Consent Form Notice to Facility for Authorized Electronic Monitoring
I, (name of resident)
OR
I, (name of resident representative)
on behalf of (name of resident)
wish to conduct authorized electronic monitoring in room number/location
in accordance with State Statutes.
Is the monitoring device a video surveillance camera?
Does the monitoring device include audio recording?
This form may be signed only by the resident or the guardian or legal representative of the resid...
Signature
Title
Date
Facility Name
Address
Signature-Facility Representative
Date
The purpose of this form is to:
).
).
...and More!