I state, that the details given by in the form above are accurate.
I understand that there may be technological problem/challenges during consultation e.g. poor quality of voice, deviation in color of images or lack of understanding on both sides because both doctor and patient are not face to face.
I understand that there is limitation of online-consultation and it cannot act as a substitute for physical and clinical examination of patient by the Herbalist.
I understand that the telephonic consultation will be based on the information furnished by me as a patient/ attendant/ Relative. I also understand that if any history is not revealed at that time of consultation, diagnosis made, and treatment given by the Herbalist may vary accordingly. I undertake to provide such missing / forgotten information to the Herbalist as early as possible so that necessary corrections in the treatment can be made.
I undertake to get investigations as advised by the doctor during the consultation process and bear the responsibility to correctly and fully inform the doctor as early as possible.
I understand that the record will be kept confidential by consultants of Oils and Herbs.
I am aware that consultant of Oils and Herbs has offered me his services from remote location at my request only.
I will not hold doctor negligent, if there is any error in judgment on the part of the doctor due to remote consultation.
I am giving above consent without any pressure or force, and I am not under influence of any drugs or alcohol while I am agreeing to this consent.
I hereby also confirm to the privacy policy of the Oils and Herbs.
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