I, hereby give my informed consent, by clicking on the box, for a consultation to be conducted by Oral healthcare professionals through Smilo.ai. I understand and agree to the following terms and conditions:
- Nature of Virtual Oral Healthcare Service: The virtual Oral Healthcare Service involves me clicking the photos of my teeth through the secured smilo.ai App/website, wherein a report will be generated regarding the health of my teeth.
- Limitations of virtual Consultation: I acknowledge that the virtual Oral Healthcare Service has certain limitations as compared to an in-person oral health examination. An AI (Artificial Intelligence) based software will perform a virtual examination through pictures clicked by me and a professional may not be able to perform a physical examination, take radiographs, or conduct certain diagnostic procedures that are typically part of an in-person visit. The recommendations provided during the virtual consultation are based on the information provided by me and may be subject to change based on a subsequent in-person examination.
- Privacy and Confidentiality: I acknowledge that the virtual Oral Healthcare Service will be conducted using a secure and encrypted online platform to ensure the privacy and confidentiality of my personal health information. The Oral Healthcare professional will adhere to applicable privacy laws and regulations to protect the confidentiality of my information.
- Technology and Technical Issues: I acknowledge that technical issues may arise during the virtual consultation, including but not limited to internet connectivity problems, errors in the report, audio or video disruptions, or interruptions in the virtual consultation. I understand that the Oral Healthcare professional will make reasonable efforts to address these issues but cannot guarantee a completely uninterrupted consultation.
- Recommendations and Treatment Planning: I understand that the recommendations and treatment planning provided during the virtual consultation are based on the information I provide and the Oral Healthcare professional’s professional opinion. It might differ from any final treatment decisions that will be made after an in-person examination and further diagnostic procedures, if necessary.
- Emergency Situations: In the event of an oral health emergency or urgent situation identified during the virtual consultation, the Oral Healthcare professional may recommend seeking immediate in-person Oral Healthcare. I will follow their advice and seek appropriate Oral health treatment as required.
- Fees and Payments: I understand that the fees for the virtual Oral Healthcare Service will be communicated to me prior to the consultation. Payment arrangements will be made in accordance with the policies of Smilo.ai.
- Right to Withdraw Consent: I acknowledge that I have the right to withdraw my consent for the virtual Oral Healthcare Service at any time. I understand that if I choose to withdraw my consent, I may need to schedule an in-person appointment to address my Oral health concerns.
- By signing below, I indicate my informed consent for the virtual Oral Healthcare Service as described above.
- I acknowledge that I have read and understood the Smilo.ai Privacy Policy and this consent form.
- I acknowledge that I have read and understood Smilo’s terms and conditions.