Emergency No.011 4225 5225

Online Consultation Form

Consent: I do hereby certify that I am well versed with my rights and responsibilities. I approached Indian Spinal Injuries Centre for an online medical support by way of telephonic or video-based consultation related to my medical condition. This means that I will be evaluated, treated or managed by the concerned ISIC health care provider or expert from the distant location. I agree to pay the above mentioned charges for the services and shall cooperate with the ISIC team and its consultants. I understand the concept of online medical support and its limitation. I hereby give my consent for my/my patient teleconsultation.


Note: Kindly check both the columns of consulting doctors should same while submit the form otherwise it may lead to cancel the consultation


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