I, hereby give my consent to engage in an Emergency medical services with Nizcare Private Limited and its affiliates or clients,vendors (Nizcare) using Nizcare Group Health Care Platform ( referred as “Nizcare Healthcare Platform”/“____________________” tentatively).
I understand the Services constitute a technology platform that enables users of Nizcare’s mobile applications or websites provided as part of the Services (each, an “Application”) to arrange and schedule transportation and/or medical services with independent third-party providers of such services, including independent third-party ambulance providers under agreement with Nizcare Private Limited.
RISKS OF TRANSPORTATION
I understand that the risks of transporting include the general risks associated with all transportation, such as possible failure of medical equipment, aircraft, or vehicle, traffic hazards, adverse weather conditions, pilot or driver error, interruption of medical treatment during transportation, or consequences of actions of persons outside the control of transport personnel. There are risks associated with all transports which include the possible worsening of the condition during transport or inability to fully treat emergent, unforeseen problems due to the limitations of available equipment and facilities.
AUTHORIZATION OF TRANSPORTATION AND EMERGENCY TREATMENT
Understanding the condition, and the risks associated with transportation, as outlined above, I accept the opinion of my physician that the condition justifies transportation and emergency treatment or me. Therefore, I authorize transportation by surface and/or air, and I further authorize the doctors and/or nurses of the transport staff and the doctors of the referral hospital to assume full care and to perform any emergency medical or surgical procedures which are necessary in their professional judgement.I agree that all disputes and issues arising out of or in connection with services rendered by myself and Nizcare shall be as Indian Laws for resolving all disputes or issue arising out of this Agreement Subject to exclusive jurisdiction of courts in Trivandrum, Kerala, India only.
Nizcare reserves the right to modify, change, add, delete full or part of the Consent Form at its sole discretion.
This consent form has been self-understood, and I accord my consent to it after being satisfied and having understood the terms & conditions contained herein