Terms & Conditions of Telehealth / Telemedicine
Terms & Conditions of Telehealth / Telemedicine
Please read the following terms and
conditions carefully as it sets out the terms of a legally binding agreement
between you (the person requesting the Telehealth / Telemedicine consultation
and anyone else who participates in the Telehealth / Telemedicine set up by the
person requesting the consultation by submitting their photo id), and Doc
Gautham’s Neuro Centre and Sakthisri Healthcare Solutions (of which Doc
Gautham’s Neuro Centre is a unit).
By requesting an appointment for
telemedicine / telehealth / video consultation through this website and by
submitting your photo identification, you acknowledge that you have read / have
had the terms hereunder read out to you in your language, and that you
understand them, and agree to be bound by them.
Terminology used in this agreement:
Telehealth is
“The delivery and facilitation of health and health-related services including
(telemedicine), medical care, provider and patient education, health
information services, and selfcare via telecommunications and digital
communication technologies.
Telemedicine is
“The delivery of health care services, where distance is a critical factor, by
.. health care professionals using information and communication technologies
for the exchange of valid information for diagnosis, treatment and prevention
of disease……in the interests of advancing the health of
individuals….”
“Doc Gautham’s Neuro Centre” hereunder includes Dr. Gauthamdas Udipi, and doctors,
healthcare personnel and the staff of Doc Gautham’s Neuro Centre.
“Healthcare provider” hereunder includes Dr. Gauthamdas Udipi, and doctors,
healthcare personnel and the staff of Doc Gautham’s Neuro
Centre.
“I”, “me”, “my” hereunder refers to the
person requesting Telehealth / Telemedicine consultation / services from Doc
Gautham’s Neuro Centre, and includes any or all persons who have participated
in the telehealth and telemedicine consultations with Doc Gautham’s Neuro
Centre after the first request for a telehealth / telemedicine consultation
with Doc Gautham’s Neuro Centre through this website.
“Patient” hereunder refers to the person
who has requested telehealth / telemedicine consultation through this website
and is undergoing telehealth / telemedicine consultation and / or treatment at
Doc Gautham’s Neuro Centre.
Technology used for telehealth and
telemedicine:
Multiple technologies can be used to
deliver telemedicine consultation of which the most common are : Video, Audio,
or Text (chat, messaging, email). Electronic systems used for telemedicine
consultation will attempt to incorporate network and software security
protocols to protect the confidentiality of patient identification and imaging
data and include measures to safeguard the data and to ensure its integrity
against intentional or unintentional corruption. However it is not foolproof.
There are possible risks due to the
technology used. These risks include, but may not be limited to clause
(7) hereunder.
Terms of this agreement:
(1) Assessment: The type
and extent of services that I will receive at Doc Gautham’s Neuro Center
through telemedicine / telehealth consultation will be determined
following an initial assessment and discussion with me through telemedicine /
telehealth consultation , and any other person(s) through telemedicine /
telehealth technology, and may include lab, scans, and other
investigations and reviews that the doctor determines as necessary to achieve
the goal of determining the best course of treatment.
(2) Limitations: Telemedicine
/ Telehealth services are by appointment only and these consultations are not
suitable for help during a crisis or emergency. The healthcare provider
contacted during a set appointment would evaluate my need and context and
guide me about the most suitable option for treatment / intervention in that
context (medicine / psychometry / telepsychotherapy/ in-person psychotherapy /
emergency services with some other provider etc.)
(3) I understand that video/audio
consultation has its own limitations as compared to in-person sessions and some
details could potentially be missed out despite the therapist’s best efforts.
While all attempts will be made to arrive at an appropriate diagnosis and
treatment, only a limited evaluation may be possible through
telemedicine, and any diagnosis and treatment based on such limited
examination may sometimes be erroneous due to no fault on the part of the
healthcare provider involved in the consultation;
(4) Duration of treatment: Typically,
treatment is provided over the course of several weeks or longer and the
duration depends on the progress and my cooperation;
(5) Information gathering: During
the course of treatment it may be necessary for the healthcare provider to
communicate with others who may be required to provide more information or
support for diagnosis and treatment; I may be required to go to the
location specified by the consulting doctor / staff of Doc Gautham’s Neuro
Centre if it is felt that the information obtained via telemedicine is not
sufficient to make a diagnosis or deliver proper care and treatment.
(6) Any requested documentation will be
provided only where feasible and based on the treating Psychiatrist or
Psychologist’s assessment and evaluation.
(7) Risks: While
medication and/or therapy may provide significant benefits, it may also pose
some risks. While all attempts will be made to minimize / avoid such risks
there are still chances of the risks occurring, which include, but may not be
limited to those listed below:
a. Uncomfortable effects of medicines.
b. Adverse effects of medicines.
c. Drug interaction with medication that
the patient is already taking (allopathic, homeopathic, siddha, naturopathic or
any other system of medicine).
d. Uncomfortable thoughts and feelings
elicited by Psychotherapy.
e. Recall of troubling memories and
emotions during psychotherapy.
f. Lack of access to complete medical
records by the healthcare provider may result in adverse drug interactions or
allergic reactions or other judgment errors;
(8) There are possible risks due to the
technology used. These risks include, but may not be limited to the below:
a. The video or information transmitted may
not be sufficient to allow for appropriate medical decision making by the
physician and consultant(s);
b. Delays in medical evaluation and
treatment could occur due to deficiencies or failures of the equipment;
c. Security protocols could fail, causing a
breach of privacy of personal medical information;
d. The video connection may not work or
that it may stop working during the consultation.
e. Other individuals may be present to
operate the equipment
(9) Release of information: By
submitting a request for telemedicine / telehealth consultation through this
website I authorise the release of any relevant medical information about
me to the consulting health care provider, any staff the consulting health care
provider supervises, third party payers and other healthcare providers who may
need this information for continuing care purposes.
(10) Payment: I understand
that these consultations will be charged and that payment must be made upfront
before the consultation / treatment is initiated. Payment may be only for
consultation or for the treatment package including any or all of the following
components: doctor’s consultation, medicines, counselling, therapy, and testing
as required. This will be specified in the payment request. Consultation /
treatment package will be initiated only on realization of the payment. I
understand that I am free to refuse to undergo the telemedicine / telehealth
consultation if the charges are not acceptable to me. By paying the charges
I agree to them and also agree not to contest them at any future date after the
telehealth / telemedicine consultation that was charged for.
(11) Where applicable, patients may
facilitate medication delivery directly or coordinate with the relevant
third-party courier service. The Centre shall not be responsible for any delays
or issues arising from such third-party services that are beyond its control.
(12) Communication difficulties: I
understand that if there are any difficulties in communication during the
session, it will be terminated and a new appointment will be scheduled. I
understand that I have the freedom to withdraw from these sessions at any time
if I wish. I understand that Doc Gautham’s Neuro Centre may also temporarily
stop or discontinue these audio/video sessions/recommend any other method or
line of treatment if either of us experience any difficulty in the process and
in my best interest.
(13) Confidentiality and
Recording: I understand that telemedicine / telehealth
consultation is strictly confidential. I agree to use a secure line/connection
for these consultations, in a relatively quiet and private space. I understand
that Doc Gautham’s Neuro Centre will not audio or video record the session
(either on mobile, using an app or online) and will not share the proceedings
of this consultation with any other individual or agency. However, with my
consent, my Doc Gautham’s Neuro Centre could use it to have their work supervised
or for training of professionals. Apart from this, the details of the
consultation would be shared only with a court of law, if mandated.
Records of the telemedicine / telehealth consultation will be maintained
by Doc Gautham’s Neuro Centre and stored in a safe location. I also
undertake that the proceedings of these consultations are not to be recorded,
shared or disseminated by me or my relatives / other contacts to any third
person or through print, physical, digital, social or any other media, and
that any such recording or sharing or dissemination will attract legal action
with suitable penalty / compensation for damages caused by such recording
or sharing to Docgautham’s Neuro Centre / Sakthisri Healthcare Solutions.
(14) Responsibility For Adverse
events:I agree to keep Dr. Gautham / the staff of Doc Gautham’s Neuro
Centre informed of any new symptoms that develop during the treatment so that
the doctor can evaluate whether it is an effect or side effect or adverse
effect and manage it accordingly, failing which there may be unforeseen
effects. I understand that the healthcare provider would use professional
discretion to provide required recommendations about the type of professional
service that may be required at any given point of time.
(a) I agree to not hold Sakthisri
Healthcare Solutions, Doc Gautham’s Neuro Centre, Dr. Gauthamdas Udipi and
the personnel at Doc Gautham’s Neuro Centre responsible, should any
adverse events, such as lack of improvement, deterioration or situations of
potential risk of harm to self or others, occur during or as a result of video/
audio consultation. I understand that in such situations I may be advised to
obtain treatment at the nearest available mental health or emergency
service. I hereby accept responsibility and agree to assume
any risk that is associated with participating in the telemedicine / telehealth
consultation and undertaking any treatment that arises therefrom, and release
Sakthisri Healthcare Solutions, Doc Gautham’s Neuro Centre, Dr. Gauthamdas
Udipi and the personnel at Doc Gautham’s Neuro Centre from any and all
claims of damage and loss that may be a result of the participation
(b) By submitting a request for
telemedicine / telehealth consult through this website I hereby agree to assume
all responsibility for adverse event that is associated with participating in
the telemedicine / telehealth consultation and undertaking any treatment that
arises therefrom, and release Sakthisri Healthcare Solutions, Doc Gautham’s
Neuro Centre, Dr. Gauthamdas Udipi and the personnel at Doc Gautham’s
Neuro Centre from any and all claims of damage and loss that may arise as a
result of participation in the telemedicine / telehealth consultation and the
treatment and services received thereafter.
(c) By submitting a request for
telemedicine / telehealth consultation through this website I hereby
release Sakthisri Healthcare Solutions, Doc Gautham’s Neuro Centre, Dr.
Gauthamdas Udipi and the personnel at Doc Gautham’s Neuro Centre from any
and all claims of damage and loss that may arise from the taking and
authorized use of videotapes, digital recording films and photographs during
the telemedicine / tele health consultation.
(15) Binding: I understand
that submitting my request through the TeleMed page on docgautham.com implies
that I have read these terms and conditions and that the consent and release
expressed by this agreement are binding in any court of law in India.
(16) Perpetuity: I
understand that this consent once expressed by submitting a request for
Telemedicine / Telehealth consultation through the TeleMed page on
docgautham.com will continue in perpetuity unless specifically revoked by me
through a registered letter addressed to Doc Gautham’s Neuro Centre or
Sakthisri Healthcare Solutions. I also understand that this consent would
suffice for me to continue to receive telemedicine / telehealth services
at Doc Gautham’s Neuro Centre until revoked in writing.
(17) This agreement is governed by the laws
of India and exclusively and irrevocably limited to the sole jurisdiction of
Chennai, India. I agree that this agreement shall remain in full force and take
effect without change and that participation in the Telemedicine / Telehealth
consultation with Doc Gautham’s Neuro Centre is pursuit to the terms of this
agreement.
(18) Consent: I have read / have had all the terms and conditions on
this page read out to me in my language, and understand the risk and
benefits of the telemedicine / telehealth consultation and have had all
my questions regarding the procedure explained and I hereby consent to
participate in a telemedicine / telehealth consultation with Doc Gautham’s
Neuro Centre under the conditions described on this page and confirm the same
by submitting my photo identification.