I fully and consciously understand and agree with the following points:
Provide information:
I acknowledge that the information I have provided to health-care providers at the footprint centre is accurate and complete, as far as I know.
Clarification and guidance:
I understand that caregivers have given me clarifications and guidance on potential treatment and related procedures.
Treatment Decisions:
I understand that decisions about treatment have been made based on clinical and professional evaluation.
Disclaimer:
I declare that I am releasing the footprint centre and all its health care providers from any legal liability for the treatment provided to me, except for serious negligence or wilful ill-treatment.
Treatment consent:
I acknowledge that I have agreed to the treatment provided to me in accordance with applicable medical guidelines.
Sharing information:
I agree to share my medical information with the medical team and the subsidiaries needed to provide health care.
Health History Update:
I pledge to provide accurate current and future health history information to ensure effective care.
Update Information:
I undertake to immediately inform the Center of the Instrument of any changes in my personal or medical information.
