Information transmission may not be sufficient e | I understand the risks, consequences, benefits, and alternatives of the telemedicine consultation |
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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 | 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 |
Delays in medical evaluation and treatment could occur due to deficiencies or failure of equipment c.
10The risks may include: a | Dissemination of any patient identifiable images or information for this telehealth interaction to other entities will not take place without my consent |
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Electronic systems used will be incorporate network and software security protocols to protect confidentiality of patient identification and imaging data and will include measures to safeguard the data and to ensure integrity against intentional and unintentional corruption in accordance to UAE Laws and regulation | poor resolution of images to allow appropriate decision making by the consulted physician b |
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.
17I acknowledge I have read the guidelines on how the video conferencing technology will be used | 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 |
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I accept the fact that in case this statement is untrue, neither this hospital nor the doctors are responsible for the caused consequences |
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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