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I am aware that this is an online program conducted through
Sanatan Wellness by Ankit and all the advise is provided
digitally.
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I hereby consent that no medicine tapering advise is given
by Sanatan Wellness or by Ankit, Medicine tapering should be
done by myself or under guidance of my personal doctor. I
understand that he works on data collected from patients. I am
willing and ready to participate in this program of my own free
will, without any influence or coercion and I am following the
advice at my own volition and I haven’t been induced or
coaxed in whatsoever manner or mode.
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I understand that during the course of this program few
unforeseen conditions and complications/ medical
emergencies may arise demanding immediate conventional
medical treatment, which I will promptly seek without delay.
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I had been given ample opportunity to
inquire/interrogate/ask any of my queries/questions/doubts.
Sanatan Wellness by Ankit has properly addressed and
answered all my queries/questions/doubts to my satisfaction
and have not forced me to take their treatment by any means.
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I fully understand and further acknowledge that no
guarantee/promise has been made to me regarding the
outcome of the course and have been properly briefed about
the result, and the unforeseen risks/complications arising
during or after the course.
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In addition to above me and my other family members/well-
wishers further, agree that Sanatan Wellness or Ankit Kaushik
will not be held responsible in any manner, whatsoever, for
any medical deterioration or demise during the course of
treatment or any other further complication arising out of it.
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I agree and understand that under the confidentiality act, the
personal information of patients is kept confidential and will not
be disclosed.
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I understand that dietary intervention /diet plans cannot
address any emergency arising due to heart attack, stroke,
organ failure, injuries, etc and in such cases, I will immediately
seek emergency services from nearby hospitals.
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I understand that further follow-up of my case will be done
through WhatsApp and that a response is expected within
24-48 hrs. With this understanding, I will patiently wait for a
response to my query/follow-up.
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All disputes shall be subject to the Jhajjar jurisdiction court
only.
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Payment once made is non refundable.
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The councelling will be terminated if patient misbehave, do
not provide health update or fails to stay available at given
appointment 2 to 3 times.
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I understand that after 21 days of treatment a feedback of
patient in the form of a video or written text is must to be
submitted. Not doing so will cancel the next councelling.
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I understand that telephonic conversation will occur at the
given appointment only & no telephonic conversation is
allowed before or after that. But during that time my doubts
and discomforts would be answered through WhatsApp in
allotted time period.
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I hereby certify and endorse that this consent form is filled in
my presence and to my willingness to undertake this medical
treatment after making me and my well-wishers understand
the complete course and all other liabilities/risks which may
arise during or later on.
DISCLAIMER: WE DO NOT PROVIDE ANY EMERGENCY
SERVICES. NEITHER DIET WORKS IN EMERGENCY. IN
SUCH A SITUATION A PATIENT/CAREGIVER NEEDS TO