Informed Consent For Clinical Consultation
I wish to receive consultation services from TEJNAKSH HEALTHCARE LTD.
I understand that I will provide all clinical data which includes all
clinical investigations reports for my treatment and I will not
conceal anything about my past diagnosis & treatment done.
understand that these consultations do not constitute clinical
supervision and that I remain completely responsible – ethically and
legally – for the decisions I make in my own clinical case situations.
My consultant will provide me with an opportunity to discuss clinical
cases and issues about which he may have expertise, and he may help me
consider treatment options for patient.
I understand that all relevant
clinical information to my treatment will be kept confidential. No
clinical case records and photographs of patients will be published in
Visual or Print media without prior consent of the patient.