I. Consent for Telemedicine

I, the undersigned, hereby provide my informed consent to receive telemedicine consultation services from the SAI International Welfare Foundation, India (SAI-WF)...

Nature of Telemedicine:

• Telemedicine includes medical consultation and guidance via phone, video, text, email, etc.
• Diagnosis and treatment are based on remotely provided information.
• Physical examination is not possible.

Confidentiality and Privacy:

• Confidentiality of records is ensured as per law.
• No third-party sharing without consent.

Scope and Limitations:

• Referral may be advised for further care.
• Limitations and risks of remote consultation understood.

Voluntary Participation:

• Participation is voluntary and can be stopped anytime.

II. Declaration by the Patient

• I voluntarily opt for telemedicine.
• I understand and accept risks and limitations.
• I agree to provide accurate personal and medical info.
• I consent to storage of records as permitted by law.
• I will visit a nearby facility if needed or in emergency.
• This is a free service, without any obligation.
• I will comply with my country’s telemedicine laws.
• I will not initiate legal proceedings against SAI-WF.
• All concerns will be handled by grievance redressal.
• I will not disparage SAI-WF publicly.
• All disputes subject to New Delhi jurisdiction only.