Medical Consent

I have read this consent form, I consent and state/understand that:

  1. I am of legal age at the time of tele-consultation. I agree to the payment terms and will pay the fees accordingly.
  2. I consent for receiving healthcare services via telecommunication/telemedicine, which may include video consultations, phone calls, chat-based advice, and other electronic communication modes. These services may involve the Registered Medical Practitioner (“RMP”), Health Coaches, Guidance Coach specialists, dietitians, or other healthcare professionals providing advice, diagnosis, and management plans for medical conditions and other healthcare matters.
  3. I understand that online healthcare services are provided remotely, and there may be limitations to what can be achieved in a virtual setting.
  4. Acknowledgment of Rules and Limitations: No Physical Examination. I understand that the healthcare professionals providing online services are not conducting a physical examination, which may limit the ability to diagnose or treat certain conditions. I agree that, when necessary, I may be advised to seek in-person care.
  5. Privacy and Security: I understand that no system is entirely foolproof. I accept the risks of potential privacy breaches inherent in online communication.
  6. Informed Decisions: I acknowledge that I am responsible for providing accurate and complete health information, including medical history, symptoms, and current medications, and I understand that failure to do so may affect the quality of care provided. I understand that the healthcare providers will explain the nature of the services to be provided, including any risks or potential side effects, and will answer any questions I may have.
  7. By agreeing to receive online healthcare services, I consent to the collection, use, and storage of my personal and medical information. I understand that my medical information may be used for the purposes of diagnosis, treatment, or healthcare management, and may be shared with registered practitioners. The anonymized data can be used/retained for the purpose of improving Amura’s healthcare services, further education, or statistical purposes by Amura.
  8. The Registered Medical Practitioner (“RMP”) performing tele-consultation is licensed to practice medicine.
  9. I understand that my participation in online healthcare services is voluntary, and I have the right to withdraw my consent and discontinue services at any time. I understand that withdrawal of consent does not affect the healthcare services I have already received or any legal obligations related to those services.
  10. I have the right to examine all the information obtained and recorded in the course of the telemedicine interaction and may request and receive copies of this information for a reasonable fee. However, the derivatives of Amura are excluded.
  11. My RMP has explained all the alternative options of care to my satisfaction.
  12. It is my duty to inform my RMP about any other electronic or in-person interactions regarding my condition that I may have with other medical professionals.
  13. Any prescription given in the tele-consultation will be applicable for this particular consultation and is applicable in the territorial jurisdiction of Amura.
  14. I understand the limitations of telemedicine.
  15. I understand that Amura might or might not be able to address all the medical conditions diagnosed.
  16. I understand that while undergoing the calorie-restricted diet there will be chances of hypotension, hypoglycemia, changes in the periods (for women), and hair fall, etc. Knowing these all scenarios, I consent to avail the online healthcare services of Amura.
  17. I acknowledge and agree that any acute scenario or condition that needs physical examination must be consulted in person with a nearby hospital/clinic. Hence Amura will not be liable to help in such cases.
  18. I agree to the Terms and Conditions of Amura. I have read and understood the information regarding the use of telemedicine provided above (or) the information regarding the use of telemedicine provided above has been read out and explained to me in a language that I fully understand, and I am willing to undergo the tele-consultations for my health condition to improve my care. I hereby give my informed consent to the use of telemedicine and/or tele-consultation.