PATIENT CONSENT:

• I hereby authorize MediPocket, Inc. to use the platform for telecommunication/consultation/treatment for evaluating, testing, and diagnosing my medical condition.
• I agree that MediPocket, Inc. can collect and submit my medical records to hospitals and specialists for evaluation and acceptance of my case.
• I understand that my current insurance may not cover the additional fees of the USA services and I will be responsible for any fee, medical expenses.
• I agree that my medical records can be kept for further evaluation, analysis, and documentation, and in all of these, my information will be kept confidential.