Consent Form
Telehealth Information for your virtual consultation
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
- Virtual consultations can be very effective, but they may have some limitations compared to in-person visits.
- Every effort is made to maintain your confidentiality and privacy, but using digital technology always carries a minimal risk of data breaches.
- If your condition requires a physical examination or further assessment, you may be advised to attend an in-person consultation.
Consent Acknowledgement
By continuing with this consultation, you acknowledge that:
- Only relevant, personal and medical information is collected for your care.
- Your information is securely stored and will not be shared without your consent.
- You have the right to access, correct, or request deletion of your data at any time.
- Strong security measures are in place to protect your information from unauthorized access.
- Your telehealth consultation may be transcribed to assist with accurate
clinical documentation and record-keeping.
The transcription is used solely for purposes related to your care and
will be treated as confidential patient information in accordance
with applicable privacy and professional confidentiality requirements.
ELIGIBILITY
By proceeding, you confirm that you are physically located in South Africa for this consultation.
Bless Health Med serves patients who are inSouth Africa at the time of
consultation. You also confirm that you are not currently experiencing
a medical emergency. If you are, please call 10177 or 112 (ambulance)
or go to your nearest emergency room.