Consent form
Telehealth Information
Practice: Bless Health Med (PR No. 1265032)
You are scheduled for a virtual consultation with Bless Health Med.
Your appointment will take place via [Zoom / WhatsApp / Telephone / Other],
in accordance with the HPCSA guidelines for telehealth.
Patient Privacy and POPIA Compliance
At Bless Health Med, your privacy and personal information are treated with
the highest level of care, in full compliance with the Protection of Personal
Information Act (POPIA).
Important Information
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Virtual consultations can be very effective, but they may have some
limitations compared to in-person visits.
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Every effort is made to maintain your confidentiality and privacy,
but using digital technology always carries a minimal risk of data breaches.
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If your condition requires a physical examination or further assessment,
you may be advised to attend an in-person consultation.
By continuing with this consultation, you acknowledge that:
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Only relevant, personal and medical information is collected for your care.
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Your information is securely stored and
will not be shared without your consent.
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You have the right to access, correct, or request deletion
of your data at any time.
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Strong security measures are in place to protect your information
from unauthorized access.
