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Your Patient Is Recording This Appointment. Now What? A Legal and Clinical Guide for NPs

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  PATIENT RIGHTS & PRACTICE POLICY   |   PROFESSIONAL PRACTICE SERIES June 2026   |   NP Chronicles Clinical Education   Your Patient Is Recording This Appointment. Now What? A Legal and Clinical Guide for NPs By Valerie Watters-Burke, DNSc, MSN, MBA, FNP-BC, GNP-BC, PPCNP-BC On patient rights, provider obligations, and what HIPAA actually says about recording — and what it doesn't   CLINICAL AND PROFESSIONAL BOTTOM LINE In most of the United States — including states like Tennessee, North Carolina, South Carolina, Texas, Florida, New York, and approximately 39 others — patients may lawfully record their own medical appointment without telling you. The law in these one-party consent states allows anyone who is a participant in a conversation to record it. Your patient is not a bystander to their own care visit. They are a party to it. HIPAA does not prohibit this. Office policy does not legally prohibit this. And telling a...