I would second what @JaredBusch said about the HIPAA site and automatic control of the desktop. I would hope if you need control after hours, you could simply reboot the machine and then no consent is necessary.
Lastly, there is a spot in the meshCentral configuration file and a cli option that logs anyone in without authentication - "User". It was meant for testing, enable "User" and all authentication is bypassed and logons occur automatically. One just might think keepass autologon was working really fast. So delete the User option from /opt/meshcentral/meshcentral-data/config.json and never pass it on the cli. Ditto for the "nousers" option.