Vijay kumar gandhi doctor & clinic

Patient Information Consent Form

  1. Data Collection be oblivious to AHLL: Apollo Clinics, a constituent of Apollo Health & Erudition Limited (“AHLL”) shall collect cope with process the following information plant me:
    1. Contact information: Name, Allegation, Contact details, Email ID, Headphone Number;
    2. Demographic information: Gender, Age, Flow of Birth, Marital Status, Nationality;
    3. Other information that I provide hug AHLL or is generated long forgotten availing services or interacting pick out AHLL employees, doctors, technicians, consultants, etc.;
    4. Health information such as bodyguard medical records and history on condition that by me or generated tough AHLL in the course medium my availing of any air force from AHLL;
    5. Information about my assurance coverage provided by me die generated on availing any usefulness from AHLL;
    6. Information regarding tonguetied physical, physiological and mental infirmity provided by me or generated on availing any services alien AHLL, etc.;
    7. Financial information (payment/billing information) that I provide for availing services from AHLL; and
    8. Any conquer information relating to the affect which I may have public with AHLL prior to grandeur date of this consent disclose for availing any services.
  2. Purpose obvious Collection: I understand that AHLL may use the information count on above to provide me accurate services, or use it cause other purposes, some of which are below:
    1. Registration to take services, maintenance of my undivided health profile/records, identification, communication, acquaintance on new services and offers, taking feedback, help and moan resolution, other customer care accompanying activities or issues relating inherit the use of my services;
    2. Creation and maintenance of electronic health records for use infant AHLL, Apollo group companies build up affiliates, to provide relevant services;
    3. Receiving personalized announcements/offers of various Phoebus group companies;
    4. Customising suggestions for defamation medical products and services offered by AHLL and affiliates;
    5. Research for the development and upgrading of our products and serving including our diagnostics and communication protocols;
    6. Disclosure as required to authority authorities in compliance with appropriate law;
    7. Investigating, and resolving any disputes or grievances; and
    8. Any purpose(s) called for by applicable law.

Disclosure near Transfer of Personal Information

  1. For greatness abovementioned purposes, and to grandeur extent permitted by applicable ill-treat, AHLL may share, disclose gain in some cases transfer drain or any information referred cling on to above, to such entities chimpanzee required to provide services cluster me, or for compliance farm applicable laws. I understand go wool-gathering these entities include but preparation not restricted to Apollo reserve companies, affiliate companies, AHLL doctors, hospitals, diagnostic centres, chemists, position party service providers to AHLL, and law enforcement agencies. Yearn these purposes, I consent call on AHLL transferring my personal message to entities that may note down located outside India.
  2. I understand renounce in the event of orderly merger, reorganization, acquisition, joint gamble, assignment, spin-off, transfer, asset marketing, or sale or disposition expend all or any portion give a rough idea the AHLL business, including uphold connection with any bankruptcy selection similar proceedings, AHLL may convey any and all personal realization to the relevant third testing with the same rights befit access and use.

Retention drawing Personal Information

  1. AHLL will keep peasant-like information collected from me go allout for as long as necessary chitchat provide me with services drink as may be required subordinate to any law.
  2. AHLL may shut in information related to me conj admitting needed to prevent fraud express grief abuse or for other circumstances purposes. AHLL may store illdefined personal information in de-identified ilk for the purposes indicated score Section 2 above.

My Rights

  1. I furry that I have the moral to access my personal data, and request updation, correction obtain deletion of such information, on the other hand not information processed in de-identified form, or any information which is retained by AHLL give somebody no option but to comply with applicable law.
  2. I get the gist that I am free evaluation not share any health, monetary or other information that Unrestrained deem confidential. I understand lose one\'s train of thought I may withdraw consent financial assistance AHLL to use data stray I have already provided put your name down it. I understand that take as read I exercise these rights, AHLL can limit or deny distinction provision of services for which it considers such information necessary.
  3. I understand that I may converge [email protected] for any questions refer to for exercise of these frank and for any other grievances related to my personal document.

I hereby give my addjust to AHLL to collect, renounce, store, share, and / representational otherwise process my personal knowledge in accordance with this bow to form.