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Informed Medical Consent


Our services are covered under the applicable regulations within each country in the region as appropriate. Law Number 26,657, National Mental Health Law of Argentina; Regulation NOM-004-SSA3-2012 of Mexico; Ministerial Resolution Number 1168-2020-MINSA of Peru; General Guidelines for the Provision and Control of the Practice of Medicine and Surgery, its Specialties and Subspecialties – Special modality during the national emergency due to COVID 19, approved by the Governing Board of the College of Physicians and Surgeons of Costa Rica, approved in the Minutes No. 2020-04-01 of the ordinary session held on April 1, 2020. All the cited legislation maintains the general regulations of health services and additionally enables doctors, specialists and subspecialists to provide their consultation. non-face-to-face way through virtual platforms.


Confidentiality: I understand that confidentiality laws apply to information disclosed during telemedicine visits. However, I understand that there are mandatory and permissive exceptions to confidentiality such as reporting child abuse or adult vulnerability. Our legal department is initiating the due process, investigating and providing all records that are required, in a pertinent and responsible manner, demonstrating that we will always comply with the protection of personal data in accordance with the following laws that are currently in force: Law 25,326 of Protection of Personal Data (Argentina), Law No. 19,628 on Protection of Private Life (Chile), Law 1581 of 2012 and its regulatory decree 1377 of 2013 (Colombia), Federal Law on Protection of Personal Data Held by Private Parties (LFPDPPP ) (Mexico), Law No. 29733, Personal Data Protection Law (Peru), Law No. 18,331 on Personal Data Protection and "Habeas Data" Action (Uruguay), Organic Law on Personal Data Protection (LOPD) (Ecuador), Law on the protection of the individual against the processing of their personal data, Law No. 8968 of July 7, 2011, its Regulations, Executive Decree No. 37554 of October 30, 2012 (Costa Rica), Law 81 of 2019 on Protection of Personal Data (Panama), Health Insurance Portability and Accountability Act of 1996 (HIPAA).


Every doctor and patient who uses the Telemedicine platform of understands and accepts the following:


  1. Nature of Telemedicine: I understand that telemedicine is a healthcare service or remote health service that uses electronic technologies to facilitate communication between the healthcare professional and the patient. Telemedicine or virtual consultation involves the use of electronic communications to allow healthcare providers in different locations to share individual patient medical information in order to improve patient care. Electronic communication means the use of interactive telecommunications equipment including, at a minimum, audio and/or video equipment that enables real-time, two-way interactive communication between the patient and the healthcare provider. The site of origin is the location of the beneficiary patient. The distant site is where the doctor or telemedicine/virtual consultation providers are located at a specific time during the time of the consultation. The information may be used for diagnosis, therapy, monitoring and/or education.

  2. Expected benefits: I recognize that telemedicine can provide benefits, such as access to medical care without having to physically travel to the office, the possibility of receiving specialized advice, and facilitation of continuity of care. Doctors and international studies agree, in various public dissemination sites, that the virtual consultation has shown to have a high percentage of diagnostic agreement with an in-person consultation, which is why it has emerged as an excellent tool widely used internationally, even replacing the in-person consultation. in some health centers and in some medical specialties. When using the means offered by telemedicine, doctors, specialists and subspecialists, are equally bound by the same principles and ethical values that govern their profession, such as respect for human life, respect for the patient as a person with dignity and freedom. and truthfulness as a presupposition of public faith, as established by the different regulatory bodies of the exercise of the profession and professional secrecy, as well as everything that medical practices and health services imply in each of the Latin American countries. . In this way, telemedicine does not exonerate the responsibilities of the medical act and the practical rights and duties of practicing the profession are shared on the same basis as the in-person consultation. 


  1. Possible risks and limitations: I am aware that, as with any form of healthcare, there are risks and limitations associated with telemedicine. These may include, but are not limited to, the possibility of misunderstandings due to limitations in physical evaluation and the security of the information transmitted. It is understood that if the doctor feels the need to complement the consultation in person, he or she will have the responsibility of offering an in-person appointment at a time agreed upon by both parties. To do this, the doctor will consider the nature of the trauma or pathology to be evaluated, in such a way that a physical examination is essential to determine the diagnosis or treatment to follow. In rare cases, the information transmitted may not be sufficient (e.g., poor image resolution) to allow appropriate decision making by the telemedicine healthcare provider. If so, it is the responsibility of each doctor to indicate and explain it to their patient. In rare cases, lack of access to complete and/or accurate medical records or information may result in adverse drug reactions, allergic reactions, or other errors in judgment. When direct consultation between a patient and a second or third doctor is necessary and there is some limitation to carry it out; However, the virtual consultation may be carried out if the treating physician is certain that the information provided by the patient serves in an ideal manner for the assessment, which will be recorded in the clinical record.


By requesting and/or scheduling a telemedicine appointment, the patient understands and accepts the following:


  1. You give your consent to carry out a virtual, non-face-to-face medical consultation with the doctor of your choice.


  1. You understand that alternative methods of medical health care may be available separately, including in-person consultation, and without liability or action involving the website or its partners, clients, professionals involved, their owners and/or administrators.


  1. You understand that you can expect anticipated benefits from the use of telemedicine, but that results cannot be guaranteed or assured.


  1. You give consent to record in the electronic clinical record the information that is reasonably considered useful to understand the patient's health status and its evolution; this could include recording the consultation or part of it, which will be fully known to the patient, through a signal in which the system will indicate that the consultation is being recorded.


  1. Laws protecting the confidentiality of medical information also apply to telemedicine. As such, it is understood that information revealed during the course of consultation and treatment is confidential. However, there are mandatory and permissive exceptions to confidentiality, including, among others, the reporting of child abuse, elder abuse, and vulnerable adult abuse, as well as all details specified herein, in accordance with applicable law in the different countries of Latin America..


Every patient and doctor using the services of the website agrees that it is his/her responsibility to read and understand the information provided above regarding telemedicine and virtual consultation and that his/her queries have been answered as per the satisfaction of it; in this way, they give their informed consent for the use of telemedicine/virtual consultation when using the services provided by the platform


By electronically signing this form, I confirm that I have read and understand the information provided about telemedicine, including its benefits, risks and limitations. As a patient, I agree to participate in telemedicine consultations with the healthcare professional I have selected.

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