I hereby consent to receive homeopathic consultation and treatment from Healwithin Homeopathy. I understand that homeopathy is a holistic system of medicine aimed at stimulating the body's natural healing ability.
I agree to provide accurate and complete details of my medical history, past treatments, allergies, medications, investigations, and any other health-related information required for proper diagnosis and treatment.
I understand that withholding information may affect the outcome of treatment.
I consent to the clinic maintaining my medical records digitally or physically.
I also allow anonymised case data (without my name or personal identifiers) to be used for academic, research, awareness or teaching purposes.
I hereby give my free and informed consent to the audio and/or video recording of my consultation sessions, including photographs or video documentation of my medical condition and testimonials.
I understand and agree that Healwithin Homeopathy shall have sole and exclusive rights to use this material for medical, educational, research, awareness, or promotional purposes, while maintaining confidentiality as applicable.
I have read and understood the above information. I voluntarily give my consent to begin homeopathic treatment at Healwithin Homeopathy. [] By clicking here, I confirm that I have read, understood, and agreed to all the above-mentioned terms and conditions. This action shall be deemed as my valid consent and electronic signature to proceed.