• Dermatology Virtual Visits Consent Form

    Dermatology Virtual Visits Consent Form

  • Virtual Visit Consent

    1. Purpose 

    The purpose of dermatology virtual visits is to provide healthcare services to patients without visiting the healthcare center physically.

    2. Confidentiality

    The medical information, history, and condition of the patients will not be shared and kept private. The medical condition can be discussed for further scientific purposes and studies; however, the patient information will be kept anonymous.

    3. Records

    Virtual visits use teleconference technology and will be conducted via interactive video calls and audio. Patients will be directed to the consultant and further examination will be formed according to the consultant's advice.

    4. Rights

    Patients can withhold and withdraw the consent at any time and can end the video teleconference with the healthcare consultants. This will not affect the further treatment processes of patients. 

    By signing this form, patients accept that all the potential risks and give permission to the healthcare center to evaluate his/her medical condition.

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  • Dermatology Health Center - 315 Wildrose Lane, Detroit, Michigan, 48201
    www.dermatologyhc.com/virtual-visits.

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