Patient Medical Consent
Authorization for medical record review and acknowledgement of services
Important: By proceeding with our services, you confirm that you have read, understood, and voluntarily agree to the terms set forth in this consent document. Please read carefully before booking or submitting medical records.
Patient Medical Records Consent and Acknowledgement
1. Record Review Authorization
The patient authorizes ReAssure Med to collect, store, and review medical records provided by the patient or their authorized representatives for the purpose of delivering second‑opinion and care‑navigation services.
2. Authorization to Share Medical Records
The patient authorizes ReAssure Med to share relevant medical records with licensed and qualified consulting specialists and, where expressly authorized by the patient, with hospitals or other treatment providers, solely as necessary to support the requested services.
3. Cross‑Border Medical Review
The patient acknowledges and agrees that medical records may be reviewed by specialists located outside the patient's country of residence. The patient further acknowledges that such records may be subject to the laws and regulations of the jurisdiction in which the reviewing specialist is located.
4. Informational Nature of Second Opinions
Any second opinions provided through the ReAssure Med platform are advisory and informational only. Such opinions do not constitute medical advice and do not establish a physician‑patient or provider‑patient relationship.
5. Responsibility for Treatment Decisions
The patient remains solely responsible for all medical and treatment decisions and agrees to consult their treating physician or another qualified healthcare provider before making any healthcare decisions based on information obtained through the platform.
6. Hospital and Provider Introductions
If the patient elects to pursue care with a hospital or treatment provider introduced by ReAssure Med, the patient acknowledges that any treatment relationship exists solely between the patient and that provider. ReAssure Med does not provide medical treatment and is not responsible for the care, services, or outcomes provided by any hospital or healthcare provider.
7. Privacy and Data Security
Medical information will be handled using industry‑standard administrative, technical, and physical safeguards, in accordance with applicable privacy laws and ReAssure Med's Privacy Policy, including secure data storage and encrypted transmission where appropriate.
8. Withdrawal of Consent
The patient may withdraw this consent at any time by providing written notice to ReAssure Med. Withdrawal of consent is subject to applicable legal, regulatory, and contractual obligations that may require continued retention or use of certain information.
Acknowledgement and Agreement
By proceeding, the patient confirms that they have read, understood, and voluntarily agree to the terms and conditions set forth in this consent document.