Informed Consent for Using Video Games, VR, RPGs - Neurodiversity Affirming

This resource is a comprehensive informed consent document for incorporating video games, online games, role-playing games (RPGs), and virtual reality experiences into therapy? This editable 9-page consent form is designed for mental health professionals who utilize gaming and immersive technologies as therapeutic tools.
 
Whether you use Minecraft, Roblox, Nintendo Switch games, online multiplayer games, tabletop RPGs, virtual RPGs, or virtual reality experiences for relaxation, mindfulness, exposure therapy, social navigation, emotional regulation, or rapport building, this template will help you feel at ease in helping clients and families understand the benefits, risks, expectations, and limitations associated with these interventions.
 
What's Included
✔ 9-page informed consent document
✔ Fully editable Google Docs version
✔ Fully editable Microsoft Word (.docx) version
✔ Professional, clinician-friendly language
✔ Sections addressing confidentiality, HIPAA considerations, and online platform use
✔ Expectations and etiquette for therapeutic gameplay
✔ Guidance regarding online gaming and exposure to third-party content, including profanity, offensive language, and other user-generated material
✔ Virtual reality (VR) informed consent
✔ Video game, online game, and role-playing game definitions and considerations
✔ Triggering content and theme awareness section
✔ Client acknowledgment and signature page
 
This resource is ideal for:
Psychologists
Therapists
Counselors
Social workers
Play therapists
Neurodiversity-affirming clinicians
Geek therapy practitioners
Therapeutic gaming specialists
Group therapy facilitators
Telehealth providers
 
Common Clinical Uses:
This consent form may be helpful for clinicians incorporating
Minecraft
Roblox
Nintendo Switch games
Pokémon
Cooperative video games
Therapeutic tabletop RPGs
Dungeons & Dragons-style interventions
Online social games
Virtual reality relaxation experiences
Virtual reality exposure therapy
Social skills groups
Emotional regulation interventions
Rapport-building activities
 
Important Note:
This resource is provided as a template and educational tool. Clinicians are responsible for reviewing, modifying, and adapting the document to meet the requirements of their profession, licensing board, practice setting, state laws, and professional liability carrier. Consultation with legal counsel is recommended when developing informed consent documents for clinical practice.