TERMS of SERVICE
For purposes of evaluating your concerns pursuant to our IntelliConsult Clinic Management Services, we seek your authorization, consent, and grant of access to and/or collection, processing, and disclosure of your personal information, such as your medical records including, but not limited to, your age, residence, past medical history, results of medical examinations, diagnosis, abstracts, treatments, HMO utilization (collectively referred to as "Information") and to be furnished copies thereof.All Information furnished to, and/or collected by us shall be used and processed by appropriate personnel, subcontractors, and medical facilities connected with us including, but not limited to, its doctors, nurses, and consultants, and we may disclose such information to our agents and affiliates, including your employer and the government whenever permitted by law or is necessary under Republic Act No. 11332, otherwise known as the Law on Reporting Communicable Diseases Act.After every evaluation, we shall generate reports from the Information collected. For this purpose, your Information will be stored by us for a period of five (5) years, without prejudice to your rights to reasonable access to, upon demand, and correction of your Information, as well as your right to lodge a complaint before the National Privacy Commission. We will ensure the protection of your information, in accordance with our privacy policy, including that of your employer. Should you wish to access, correct or update your Information, or if you have any inquiries, please email our Data Protection Officer at dpo@ intellicare.net.ph or dpo@ avega.net.ph, whichever is applicable.
Note that the Company will not disclose any information obtained in the conduct of the evaluation except as otherwise provided herein, subject to the provisions of the Data Privacy Act. Further, the Compay guarantees that information that can be identified with you will remain confidential and will be disclosed only with your permission or as required by law.
By using our service:1. You attest that you have read the above information and understand and agree to the following:a. the reasons for the collection, processing, and disclosure of my information and the ways in which said Information may be used, and I agree to said usage and disclosure;b. it is my choice as to what information I provide and that withholding or falsifying information might act against the best interests of my assessment;c. the Information I provide will be processed for the evaluation of my medical claim and for billing purposes thereof;d. I can access my Information on request and if necessary, correct the information that I believe to be inaccurate; ande. if in exceptional circumstances, access is denied for any legitimate purposes, the reasons for this and possible remedies will be made available to me by the Company; and2. You authorize the Company to do the following:a. release any Information and related documents including a summary thereof derived from laboratory services and medical consultations to the Company or its authorized representatives for the evaluation of my medical claim, andb. the Company to release such information for the evaluation of my medical concerns; including a summary derived from laboratory services and medical consultations to (i) my employer, (ii) the government, whenever required and/or (iv) the Company's personnel, subcontractors, doctors, nurses, and consultants.3. In addition, you understand and agree that:a. Online consultation, including medical advice, is solely based on the information provided by you and/or your Treating Physician, if any, and, in the absence of a physical evaluation, the Intelliconsult physician may not be aware of certain facts that may limit or affect his or her assessment or diagnosis of your condition and recommended treatment.b. The Online consultation is very different from a regular face-to-face examination and that the Intelliconsult physician providing the consult is limited by the written information and imaging, if any, provided by you.c. Accordingly, the diagnosis you will receive is limited and provisional.d. An online consult is not intended to replace a full medical face-to-face evaluation by a physician.
4. You also hereby consent to the disclosure of your COVID-19 status should you be found positive for the virus for contact tracing purposes to be undertaken by the Company
5. Lastly, you agree to hold the Company, and its officers, directors, stockholders, employees, consultants, and/or doctors free and harmless from all claims, suits, charges, fees, damages or liabilities arising from or connected with (a) the legitimate use of the service, (b) the collection, processing and release or disclosure of your Information including, but not limited to, your medical records; provided that the processing of your Information is made in accordance with the Philippine Data Privacy Act, its Implementing Rules and Regulations, Memorandum Circulars, and such other issuances of the National Privacy Commission; (c) your violation of these terms such as non-disclosure of relevant medical history; and (d) death or bodily injury sustained without the fault or medical negligence of the Company, its officers, directors, stockholders, employees, consultants, and/or doctors.
