CONSENT

WRITTEN CONSENT OF THE PATIENT


I hereby authorize MEDITATION HEALTH CARE (OPC) PRIVATE LIMITED & here all associated doctors and clinics & Staff to carry out my treatment and required necessary procedure. All treatments and its complications and charges has been explained to me & I am willing to undergo treatment without any force and pressure and with my present mind and heart I agreed for the same. MEDITATION HEALTH CARE (OPC) PRIVATE LIMITED will never guide to stop your previous any pathy's medicine or treatments. In case of any allergy or emergency please stop the medicine and consult to the Doctor.

I Mr./ Ms.______________ son/ daughter/ wife of ______________ aged residing at ______________ hereby agree and hereby give my consent for;

  • (i) Carrying out my Inspection and disease related telephonic detail information for my treatment as may be necessary .
  • (ii) Necessary Treatment as may be required to be carried out for the purpose of curing of the disease,

which altogether includes any medicine or any one of them at any one point of time, as may be prescribed by the Doctor/s.

I hereby declare that all treatments and its complications and charges has been explained to me & I am willing to undergo treatment/s without any force and compulsion.

I am fully aware about the treatment/s prescribed for me and the same have been explained to me in detail and being understood by me I hereby give my consent in full conscious mind for undergoing the said treatment.

Date:

Place:
Patient's/ Guardian's
Signature


Meditation Health Care © 2017 / ALL RIGHT RESERVED

COLOR SCHEME

VERSIONS