{"id":802,"date":"2026-05-21T13:03:43","date_gmt":"2026-05-21T13:03:43","guid":{"rendered":"https:\/\/audreyrp.com.br\/audreyclinica\/?page_id=802"},"modified":"2026-05-21T13:05:02","modified_gmt":"2026-05-21T13:05:02","slug":"tcle","status":"publish","type":"page","link":"https:\/\/audreyrp.com.br\/audreyclinica\/tcle\/","title":{"rendered":"Termo de consentimento livre e esclarecido"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"802\" class=\"elementor elementor-802\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d6fa18e e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"d6fa18e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31840e0 elementor-widget elementor-widget-shortcode\" data-id=\"31840e0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-798 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-798\" data-uid=\"6a15302b3b2f6\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-798\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-798 forminator-design--default  forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"798\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"6a15302b3b2f6\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a15302b3b2f6\" id=\"forminator-field-name-1_6a15302b3b2f6-label\" class=\"forminator-label\">1. Nome completo <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6a15302b3b2f6\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a15302b3b2f6\" id=\"forminator-field-text-1_6a15302b3b2f6-label\" class=\"forminator-label\">CPF (XXX.XXX.XXX-XX) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6a15302b3b2f6\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-row-inside forminator-row-with-confirmation-email\"><div class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a15302b3b2f6\" id=\"forminator-field-email-1_6a15302b3b2f6-label\" class=\"forminator-label\">E-mail <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a15302b3b2f6\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-confirm_email-1_6a15302b3b2f6\" id=\"forminator-field-confirm_email-1_6a15302b3b2f6-label\" class=\"forminator-label\">Confirmar e-mail <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"confirm_email-1\" value=\"\" placeholder=\"Digite novamente o endere\u00e7o de e-mail\" id=\"forminator-field-confirm_email-1_6a15302b3b2f6\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p class=\"p1\"><strong>TERMO DE CONSENTIMENTO PARA AVALIA\u00c7\u00c3O NEUROPSICOL\u00d3GICA<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p class=\"p2\">Leia com aten\u00e7\u00e3o todas as informa\u00e7\u00f5es dispostas abaixo:<\/p>\n<p>&nbsp;<\/p>\n<p class=\"p2\"><strong>Participa\u00e7\u00e3o Volunt\u00e1ria:<\/strong> Aceito participar da Avalia\u00e7\u00e3o Neuropsicol\u00f3gica por minha livre e espont\u00e2nea vontade, estando ciente de que posso interromper a minha participa\u00e7\u00e3o a qualquer momento, sem que isso gere qualquer tipo de penalidade al\u00e9m do acerto proporcional pelos servi\u00e7os j\u00e1 realizados, conforme previsto em contrato;<\/p>\n<p>&nbsp;<\/p>\n<p class=\"p2\"><strong>Informa\u00e7\u00e3o adequada:<\/strong> Recebi informa\u00e7\u00f5es claras e adequadas sobre a natureza da avalia\u00e7\u00e3o, que consiste na aplica\u00e7\u00e3o de instrumentos e testes cientificamente validados, visando identificar aspectos cognitivos, comportamentais e emocionais;<\/p>\n<p>&nbsp;<\/p>\n<p class=\"p2\"><strong>Modalidade e riscos:<\/strong> Compreendo que a avalia\u00e7\u00e3o ser\u00e1 realizada na modalidade online (s\u00edncrona) e que fui orientado(a) sobre a necessidade de um ambiente privado e infraestrutura t\u00e9cnica adequada para garantir a seguran\u00e7a e a qualidade do servi\u00e7o;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Transcri\u00e7\u00e3o das sess\u00f5es:<\/strong> Estou ciente de que as sess\u00f5es poder\u00e3o ser gravadas e\/ou transcritas pela profissional respons\u00e1vel, exclusivamente para fins de registro t\u00e9cnico, an\u00e1lise cl\u00ednica e documenta\u00e7\u00e3o do processo avaliativo, sendo assegurado o sigilo, a confidencialidade e a prote\u00e7\u00e3o das informa\u00e7\u00f5es, conforme previsto pelo C\u00f3digo de \u00c9tica Profissional do Psic\u00f3logo e pela legisla\u00e7\u00e3o vigente.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"p2\"><strong>Sigilo e prote\u00e7\u00e3o de dados:<\/strong> Estou ciente de que todas as informa\u00e7\u00f5es colhidas e os resultados dos testes s\u00e3o estritamente confidenciais e protegidos pelo sigilo profissional e pela Lei Geral de Prote\u00e7\u00e3o de Dados (LGPD), sendo utilizados exclusivamente para a finalidade deste acordo;<\/p>\n<p>&nbsp;<\/p>\n<p class=\"p2\"><strong>Direito a esclarecimentos:<\/strong> Tive a oportunidade de sanar todas as minhas d\u00favidas sobre os procedimentos e os riscos considerados normais e previs\u00edveis da atividade antes do in\u00edcio da aplica\u00e7\u00e3o dos testes.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"p2\">Pelo presente instrumento, eu, {name-1}, portadora do CPF n\u00ba {text-1}, declaro que:<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_6a15302b3b2f6\" id=\"forminator-field-consent-1_6a15302b3b2f6-label\" class=\"forminator-label\">Estou de acordo com o exposto. <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_6a15302b3b2f6__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6a15302b3b2f6\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6a15302b3b2f6-label\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6a15302b3b2f6__description\" class=\"forminator-checkbox__label forminator-consent__label\"><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Enviar mensagem<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"82b0517373\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/audreyclinica\/wp-json\/wp\/v2\/pages\/802\" \/><input type=\"hidden\" name=\"form_id\" value=\"798\"><input type=\"hidden\" name=\"page_id\" value=\"802\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/audreyrp.com.br\/audreyclinica\/tcle\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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