In rare cases, a lack of access to complete health records may result in adverse drug interaction, allergic reactions or other judgement errors I shall not hold the Medcare medical center authorities legally or financially responsible for any kind of loss or damage sustained by the procedure | |
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Information transmission may not be sufficient e | I have been provided with enough information in a language that I can understand, to make an informed decision and I agree to have the Telehealth consultation Services |
I acknowledge I have read the guidelines on how the video conferencing technology will be used.
Dissemination of any patient identifiable images or information for this telehealth interaction to other entities will not take place without my consent | I accept the fact that in case this statement is untrue, neither this hospital nor the doctors are responsible for the caused consequences |
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poor resolution of images to allow appropriate decision making by the consulted physician b | I also acknowledge this consultation is limited to certain medical conditions for which the telehealth consultation services can be obtained and the proper procedures that shall be applied in emergency cases |
I agree to give my consent by ticking the below box knowingly, freely and voluntarily and agree to bind by its terms.
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