Consent for Submission of Health Information

  1. Voluntary Submission :You are voluntarily providing your information for the purpose of receiving services, consultations, or recommendations. By providing this information, you give your explicit consent for the collection, storage, processing, and sharing of your personal and sensitive personal data, including health-related data, for the purposes stated in this consent form.

  2. Information to be collected :The information collected by us will include, but not be limited to, the following:

    1. Patient’s Name
    2. Parents’ Name
    3. Email ID
    4. Affected Patients in the family
    5. DOB
    6. Gender
    7. WhatsApp Number
    8. Nationality
    9. Address
    10. Tests Conducted
    11. Medical History
    12. Medication status
    13. Name of hospital/treating doctor
    14. Disability Status
    15. Employment details
  3. Data Usage :Your information will be collected, stored, and shared with registered medical practitioners, hospitals, or healthcare providers solely for the purpose of facilitating consultations, treatment, and related healthcare services. Further, we collect, process, store, and share your personal data in accordance with the applicable laws in India, including but not limited to the Information Technology Act, 2000, the Information Technology (Reasonable Security Practices and Procedures and Sensitive Personal Data or Information) Rules, 2011, and the Digital Personal Data Protection Act, 2023.

  4. Parental/Guardian Consent :Since the information pertains to a minor, you confirm that you are the parent/legal guardian and have the authority to provide this consent on behalf of the minor. You also acknowledge that any decision regarding medical consultations or treatments will be made in the best interest of the minor.

  5. Confidentiality & Data Security :We implement reasonable security measures to ensure the confidentiality, integrity and protection of your personal data to prevent unauthorized access, disclosure, alteration or destruction in accordance with applicable laws and standards to protect your personal and health information.

  6. No Medical Liability :We act only as a facilitator to connect patients with healthcare providers and do not offer medical advice, diagnosis, or treatment. Any medical consultation or service availed is solely between the guardian and the respective healthcare provider. We shall not be held liable for any medical decisions, outcomes, or treatments.

  7. Data Retention :You understand that your personal information will be retained only for as long as necessary to fulfil the purposes outlined in this consent form, including for compliance with applicable laws and regulations. If you choose to withdraw consent, we will stop processing your personal information, except where retention is required by law.

  8. Right to Withdraw Consent :You may withdraw your consent and request the deletion of your data at any time by contacting [support email/contact details]