WHAT THIS TEMPLATE DOES
The Retroactive Consent Documentation Template helps you:
formally document consent conditions after the moment
name time pressure, incomplete information, or power imbalance
create a written record without emotional language
support reopening, modifying, or withdrawing consent
reduce risk when decisions were rushed
It converts internal clarity into external documentation.
WHAT’S INCLUDED
Sections include:
Identifying information
Decision or action involved
Conditions present at the time (checklist format)
Neutral retroactive documentation statement
Current consent position (reconsider / modify / withdraw)
Request for next steps
Record confirmation
Designed to be:
factual
non-accusatory
easy to complete under stress
HOW TO USE THIS
Complete the form as soon as possible after the event
Attach it to a follow-up email or keep for your records
Use alongside scripts from the Coerced Consent Recovery Guide
You do not need permission to document conditions.
IMPORTANT BOUNDARIES
This template provides documentation support, not legal advice.
If pressure escalates into:
retaliation
threats
involuntary action
removal of services
Seek advocacy or legal support.
Documentation supports action it does not replace backup.
