healthpoint.iqhealth.com
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https://healthpoint.iqhealth.com/invites/aa491e892a90439aa912ff5310c932a6
Submission: On October 08 via api from AE — Scanned from DE
Submission: On October 08 via api from AE — Scanned from DE
Form analysis
2 forms found in the DOMPOST /invites/aa491e892a90439aa912ff5310c932a6
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<div class="form--help"><span class="text-error text-heavy form-note-required">*</span> <small class="text-soft">All fields are required.</small></div>
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Text Content
Healthpoint & Abu Dhabi Telemedicine Centre Patient Portal Skip to Main Content WELCOME TO HEALTHPOINT & ABU DHABI TELEMEDICINE CENTRE PATIENT PORTAL Healthpoint & Abu Dhabi Telemedicine Centre Patient Portal is your online connection to Healthpoint & Abu Dhabi Telemedicine Centre. GENERAL CONSENT FOR TREATMENT I am asking for medical care and treatment at this facility, and agree to accept services which may diagnose my medical condition, procedures to treat my condition and routine dental and medical care. • I understand that these services will be provided to me by physicians, nurses, dentists, physician assistants and other health care providers. • I understand that some of my physicians, nurses and other healthcare providers may be trainees, under the supervision of appropriate personnel, and may participate in my treatment, and I consent to such involvement in my care. • I understand that my agreement to accept these services is called a General Consent and that it includes any routine procedure(s) or treatment(s) such as blood drawing, physical examination, administration of medication(s), taking X-rays, use of local anesthesia, and other non-invasive procedures. • I do acknowledge that different declarations may be needed for some specific diagnostic and surgical procedures. • I further acknowledge, that results of medical treatments and surgical procedures may not be adequately predicted. Neither Healthpoint nor attending medical team can or are allowed to give any guarantee or confirmation of outcomes. THIS INVITATION IS FOR HELMY • I grant permission for my medical data to be used for clinical research, if needed, with the understanding that my identity shall remain confidential and privacy respected. • I understand that my agreement to accept these services will remain in effect unless I say that I no longer want these services or until my treatment is completed. • I know that my personal belongings and valuables can be locked in Healthpoint’s safe (at designated areas only) at my request. Therefore, I acquit Healthpoint from all responsibility regarding any items placed without a fiduciary in the hospital's safe. • I understand that there may be personal cost involved in my treatment as per the UAE laws and regulation. I have been made aware of the estimated cost of the treatment and I agree to pay this cost in full to the hospital in the event my insurance refused to pay or does not cover the medical bills, in whole or in part. • I have received a copy of Healthpoint Patient’s Rights and Responsibilities. PRIVACY NOTICE AND USE OF HEALTH INFORMATION I understand that Healthpoint will collect and store information relevant to my health together with other information for the purposes of insurance, administration and financial matters, including personal contact details (Personal Information). I consent to Healthpoint using the Personal * All fields are required. Are you HELMY? Please choose I'm HELMY I manage HELMY's health Cancel * English (United States) * English (United Kingdom) * العربيّة Info Timeout Modal beginning of dialog content YOUR SESSION WILL EXPIRE IN: 1196 seconds Stay signed inSign me out end of dialog content