I hereby consent to engage in telemedicine with ePink Health. I understand that “Telemedicine” includes the practice of health care delivery, diagnosis, consultation, treatment, transfer of medical data, and education using interactive audio, video, or data communications in accordance with the Telemedicine Laws of Malaysia.
I understand that I have the following rights with respect to telemedicine and the limitations of telemedicine as follows:
(1) I have the right to withhold or withdraw consent at any time without affecting my right to future care or treatment nor risking the loss or withdrawal of any program benefits to which I would otherwise be entitled.
(2) The laws that protect the confidentiality of my medical information also apply to telemedicine. I understand that there will be no recording of any of the online sessions by either party. All information disclosed within sessions and written records pertaining to those sessions are confidential and may not be disclosed to anyone without written authorization, except where the disclosure is permitted and/or required by law.
(3) I understand that there are risks and consequences from telemedicine, including, but not limited to, the possibility, despite reasonable efforts on the part of my doctor, that the transmission of my medical information could be disrupted or distorted by technical failures; the transmission of my medical information could be interrupted by unauthorized persons; and/or the electronic storage of my medical information could be accessed by unauthorized persons.
(4) I understand that telemedicine based services and care may not be as complete as physical consultation. I also understand that if my doctor believes I would be better served a physical consultation, I would be advised as such.
(5) I understand that telemedicine is not appropriate for medical emergencies and that this is best sought by seeking care at an Emergency unit.
(6) I have read and understand the information provided above. I have discussed it with my doctor, and all of my questions have been answered to my satisfaction.