The risks may include: a | I understand the benefits of the telemedicine consultation such as Improve access medical care by enabling a patient to remain in their home, more efficient medical evaluation and access to expertise from distant specialist |
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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 |
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.
24Details of medical history, examination, x-rays and tests may be discussed with other healthcare professionals with interactive videos, audio and telecommunication technology | Responsible and appropriate efforts have been made to eliminate any confidentiality risks associated with the teleconsultation and all existing confidentiality protections under UAE federal laws and local regulation apply to information disclosed during this teleconsultation |
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In rare instances, security protocol could fail causing a breach of privacy of personal medical information d | I understand the risks, consequences, benefits, and alternatives of the telemedicine consultation |
I understand I may withhold or withdraw consent to teleconsultation at any time without affecting my right to future care or treatment.
I agree to give my consent by ticking the below box knowingly, freely and voluntarily and agree to bind by its terms | The nature during the teleconsultation: a |
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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 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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