Kharghar, Navi Mumbai | Classical Ayurveda & Panchakarma

Telemedicine Consent Form

Last updated: 25 May 2026

Before proceeding with a video or phone consultation at HEAL Ayurveda Wellness, please read and understand this consent form carefully. This consent is collected in accordance with the NMC Telemedicine Practice Guidelines, 2020, the CCIM Telemedicine Advisory, the IT Act, 2000, and the DPDP Act, 2023.

Telemedicine consultation at HEAL Ayurveda Wellness is offered to provide accessible, high-quality Ayurvedic care to patients who may not be able to attend in person. Providing informed consent ensures you understand the nature, scope, and limitations of this service.

1. What is Telemedicine?

Telemedicine is the delivery of health consultation services using audio-visual communication technology. At HEAL Ayurveda Wellness:

2. What Telemedicine CAN Do

3. What Telemedicine CANNOT Do

The following assessments and services require an in-person visit and cannot be conducted via telemedicine:

4. Your Rights During the Teleconsult

5. Privacy During the Teleconsult

6. Technical Requirements

7. Consent Declaration

By proceeding with a telemedicine appointment at HEAL Ayurveda Wellness, you confirm your understanding and acceptance of each of the following:

Record-Keeping: This consent form is printable for your personal records. Patients are advised to retain a copy. Your digital acceptance at the time of booking is logged in the HMS with a timestamp and appointment ID.