Dental sedation consent forms and AI privacy: what a sedation consent gives away in ChatGPT or Claude.
A sedation consent form is the document a patient reads and signs before intravenous sedation, and it is the longest and most personal consent a dental practice uses. It asks for the medical history that affects the drugs, the fasting and escort arrangements, the risks in plain English and a declaration about alcohol and other substances. Staff paste forms like this into ChatGPT or Claude to simplify the wording or fill in the next patient’s. This page marks every item in a routine sedation consent that the Privacy Act and the Dental Board’s Code of conduct bear on, and shows how the same form is prepared on Ermos inside the practice.
The sedation consent form
Given to the patient before a sedation appointment and signed in the practice. Section 4.2, item 7 of the Code of conduct asks practitioners to document consent appropriately, including considering written consent for higher-risk procedures.
Consent for intravenous sedation
Tallowwood Dental · Thursday 12 November 2026, 8.30am · Dr Jonathan Lee (conscious sedation endorsement)10
| Patient | Tomasz Wrona, DOB 3 February 1982, 31 Peppermint Close, Lane Cove NSW 20661 |
| Procedure | Surgical removal of lower left wisdom tooth 38 and lower right 48 under IV sedation, with local anaesthetic6 |
| Your health | Mild obstructive sleep apnoea (uses CPAP; bring the machine). Sertraline 100 mg daily for anxiety, take as usual with a sip of water. BMI 33. GP: Dr Ruth Alcorn, Lane Cove.2 |
| Declaration | I have three to four beers most evenings and will not drink in the 24 hours before sedation. I use no recreational drugs. I have had no previous problems with anaesthesia.8 |
| Before you come | No food for six hours and no clear fluids for two hours before your appointment. Wear loose clothing with short sleeves.3 |
| Your escort | Marta Wrona (wife), 04xx xxx 402, will collect you and stay with you for 24 hours.4 |
| Risks | You will be drowsy and may not remember the procedure. Sedation can lower your breathing and blood pressure, and your sleep apnoea increases the chance of your airway becoming blocked. Rarely, a reaction to a drug may need emergency care and transfer to hospital.5 |
| Fee | $2,350 including sedation and monitoring. Deposit of $500 paid by card on 30 October.7 |
| Signed | Tomasz Wrona, 30 October 2026. Witnessed by Sam Duarte, dental assistant.9 |
An invented consent form. The practice, dentists, patient, GP and clinic are fictional; the phone number is a placeholder. Hover or tap any highlighted item for the analysis; the full list is below.
What leaves the practice
- 1The patient
A full name, date of birth and home address on a consent form. Personal information under the Privacy Act and health information as it is collected in providing a health service. Patient data guide.
Frontier Models (ChatGPT, Claude) Transmitted to the provider, generally offshore on personal plans Ermos Edge Stays on your instance in Australia; leaves only inside a permitted excerpt, per question, to the named provider Ermos Dominion Stays on the unit in your office - 2Health details that drive the sedation plan
Sleep apnoea, a psychiatric medication, a body measurement and the patient’s GP. Health information is sensitive information under the Privacy Act, and these facts decide how the sedation is done. Patient data guide.
Frontier Models (ChatGPT, Claude) Sensitive health information transmitted; on consumer tiers it can train future models Ermos Edge Stays on your instance in Australia; leaves only inside a permitted excerpt, per question, to the named provider Ermos Dominion Stays on the unit in your office - 3Fasting and clothing instructions
Standard pre-sedation instructions. The practice’s template wording for every sedation patient and not about anyone in particular.
Frontier Models (ChatGPT, Claude) Standard instructions; sending them exposes nothing Ermos Edge Nothing patient-specific to protect Ermos Dominion Nothing patient-specific to protect - 4The escort
A named spouse, her phone number and the commitment that she will stay for 24 hours. A third party’s personal information, collected for the patient’s safety. Privacy Act guide.
Frontier Models (ChatGPT, Claude) A spouse’s name and number transmitted Ermos Edge Stays on your instance in Australia; leaves only inside a permitted excerpt, per question, to the named provider Ermos Dominion Stays on the unit in your office - 5The risks, tailored to this patient
The standard risks, plus a sentence tying the airway risk to this patient’s sleep apnoea. Section 4.2 of the Code expects patients to be given information in a way they can understand before consent, and this wording is a record of that. Patient data guide.
Frontier Models (ChatGPT, Claude) A personalised risk warning transmitted; a wrong summary could mislead the patient Ermos Edge Stays on your instance; the dentist must still check that the risks are stated correctly Ermos Dominion Stays on the unit; the dentist must still check that the risks are stated correctly - 6The procedure and date
Which teeth, what type of sedation and when. A clinical decision about a named person. Patient data guide.
Frontier Models (ChatGPT, Claude) A named patient’s planned procedure transmitted Ermos Edge Stays on your instance in Australia; leaves only inside a permitted excerpt, per question, to the named provider Ermos Dominion Stays on the unit in your office - 7The fee and deposit
What he is paying and that he has paid. Financial consent information, with a card payment on file. Privacy Act guide.
Frontier Models (ChatGPT, Claude) A fee and a deposit transmitted Ermos Edge Stays on your instance in Australia; leaves only inside a permitted excerpt, per question, to the named provider Ermos Dominion Stays on the unit in your office - 8Alcohol and drug declaration
His honest answer about drinking and a promise about the day before. Health information, and the item that the dentist must rely on being true. Patient data guide.
Frontier Models (ChatGPT, Claude) An alcohol and drug declaration transmitted Ermos Edge Stays on your instance in Australia; leaves only inside a permitted excerpt, per question, to the named provider Ermos Dominion Stays on the unit in your office - 9The signature and witness
The record that the patient agreed, witnessed by a named employee. Section 4.2 item 7 asks practitioners to document consent appropriately; this is the evidence of it.
Frontier Models (ChatGPT, Claude) The signed consent and a witness transmitted Ermos Edge Stays on your instance in Australia; leaves only inside a permitted excerpt, per question, to the named provider Ermos Dominion Stays on the unit in your office - 10The sedation practitioner
A named dentist and a qualification. Public information about a registered practitioner, tied to the procedure.
Frontier Models (ChatGPT, Claude) A public practitioner and qualification Ermos Edge Public details, nothing to protect Ermos Dominion Public details, nothing to protect
What happens in Frontier Models (ChatGPT, Claude)
- The whole document is transmitted to the provider’s servers. On personal plans the user cannot choose where it is stored or processed, and for the major providers that has generally meant outside Australia, under that country’s legal process. Some business plans offer storage in Australia, but the provider still receives the content.
- On consumer tiers, prompts can be retained and used to train future models.
- The provider’s staff and systems can reach the content under the provider’s own policies.
- Once sent, the practice no longer controls it. Retention and deletion happen on the provider’s terms.
The same document on Ermos
Ermos Dominion
The document is drafted on a unit in your office, from your own templates and the patient record. Every marked item stays on the unit, which keeps working with the internet switched off. Nothing in it is transmitted to an AI provider, so there is no disclosure to analyse: the confidentiality work is the same as for your file server.
Ermos Edge
Your documents, the index and your access boundaries stay on your own instance in an Australian data centre. When a staff member asks for this draft, only their question and the excerpts they are permitted to see go to a named Australian provider, who is contractually barred from keeping the content or training any model on it. Nothing is processed outside Australia.
| Frontier Models (ChatGPT, Claude) | Ermos Edge | Ermos Dominion | |
|---|---|---|---|
| Where the document is processed | Provider servers, generally offshore on personal plans | Your instance in an Australian data centre; answers generated in Australia | The unit in your office |
| Who can read it | Provider staff and systems, under policy | Your staff, within the boundaries you set. The named Australian provider processes only permitted excerpts, under contract, and keeps nothing | Your staff only |
| Is it kept | On the provider’s terms | Kept on your instance; the provider is barred from retaining it | Stays on the unit |
| Can it train a model | On consumer tiers, yes | No, by contract | Only your own unit learns from it, on your hardware |
Part of AI data leakage in dental practices.
Common questions
Do ChatGPT and Claude use the information in a sedation consent form?
Is it safe to paste a sedation consent form into ChatGPT or Claude if we remove the patient's name?
Can ChatGPT or Claude be trusted to draft a sedation consent form?
How can a dental practice use AI for a sedation consent form without sending it to ChatGPT or Claude?
Does the Code require written consent for sedation?
Can AI explain the risks in simpler words?
Is the alcohol declaration treated differently?
See Dominion answering from your own documents.
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