Pediatric

CONSENT

By using this online appointment setter, I understand and agree to the following:

I hereby consent to engage in ECU services of Healthway Medical Network. They will collect my personal information, such as my name, contact details, and reason for the appointment. This information is needed to schedule and confirm my appointment and may be used to contact me about appointment changes or Healthway Medical Network updates. They will treat my information confidentially in accordance with Healthway Medical Network’s Privacy Policy.

I agree to receive appointment confirmation emails and reminders from Healthway Medical Network. I may also receive updates about their services or events. I can unsubscribe from these communications at any time.

I understand that Healthway Medical Network will use its best efforts to fulfill my appointment as scheduled. However, they reserve the right to reschedule or modify appointments due to unforeseen circumstances. Healthway Medical Network will notify me as soon as possible of any changes.

SCOPE AND LIMITATION

I understand that this ECU online appointment setter is designed for my convenience in scheduling appointments for various ECU services. However, there are some limitations to keep in mind:

I understand that the availability displayed may not be completely up-to-date. There might be a short delay between my booking and the system reflecting the change. For urgent appointments or immediate confirmation, it’s best to call the facility directly.

I understand that this platform may not offer all ECU services. If I’m looking for a specific service not available online, or want a complete list, contacting your preferred facility directly is recommended.

I agree that I can reschedule or cancel appointments through this platform, there may be a minimum notification period required. Please be sure to review the cancellation policy during the booking process for details.

I understand that Healthway Medical Network will do their best to keep the online appointment setter running smoothly. However, technical issues may arise that could temporarily limit functionality. Healthway Medical Network cannot be held liable for any inconvenience caused by such technical problems.

DISCLOSURE

I understand that by using this ECU online appointment setter, some information will be disclosed:

I agree to provide accurate and complete information, including my name, contact details, and the reason for my appointment. This information is necessary to schedule and confirm my appointment, and may be used to contact me regarding changes or updates. Healthway Medical Network assures me my information will be kept confidential according to Healthway Medical Network’s Privacy Policy.

I agree to receive appointment confirmation emails and reminders from Healthway Medical Network. They may also send updates about services or events, but I can unsubscribe from these communications at any time.

DATA PRIVACY

I understand that I have a right to access my medical information and copies of medical records in accordance with the Data Privacy Act of 2012 or RA 10173.

I also understand that the dissemination of any personally identifiable images or information from the ECU interaction to researchers or other entities shall not occur without my written consent.

I understand and agree that I will not record the ECU session nor publish online or otherwise, any recording, without the prior written consent of the Physician being consulted on this platform and Healthway Medical Network.

I understand and agree that Healthway Medical Network may use data from this online appointment setter and ECU appointment to pursue its goal of improving the value and benefits of this service but that any publication of patient data will have personal identifiers removed or anonymized or hidden, and that my data will only be published in aggregate reports which do not contain my personal identifiers unless I provide written consent to do otherwise.

CANCELING AND RESCHEDULING

I understand and agree that my consultation can only be canceled or rescheduled within 3 working days prior to my initial schedule.

In case my doctor cannot attend my scheduled consultation or any administrative challenges arise, I understand that a reschedule may be offered to me within the next forty-eight (48) hours from my scheduled appointment. I also understand and agree that I have the right not to accept the new schedule.

ADMINISTRATIVE

I understand and agree that nonmedical technical personnel may be present to aid in the interactive audio, video or other telecommunications technology transmission.

I understand that there may be delays in the consultation due to the hospital’s skeletal workforce implementation.

I also authorize Healthway Medical Network healthcare team to get in touch with me should there be a medical need to do so in the interest of my safety or the safety of others.

I have read and understood the information provided above.