Declaration and Data Privacy Consent
R.A. 11332: MANDATORY REPORTING OF NOTIFIABLE DISEASE AND HEALTH EVENTS OF PUBLIC HEALTH CONCERN ACT. It requires the patient to provide truthful information about one’s health condition and possible exposure. Violation of this act shall be penalized with a fine not less than P20,000.00 but not more than 50,000.00 or imprisonment of not less than (1) one month but not more than (6) months, or both such fine and imprisonment at the discretion of the proper court.
R.A. 10173: DATA PRIVACY ACT OF 2012. TeleCure recognizes its responsibilities under the Republic Act No. 10173, also known as the Data Privacy Act of 2012 (DPA), with respect to the data it collects, records, organizes, update, use, consolidate or destruct from patients/employees/clients. The personal data obtained is entered and stored within the clinic’s authorized information and communications system and shall be accessed by TeleCure authorized personnel. TeleCure has instituted appropriate organizational, technical and physical security measures to ensure the protection of the patient's/employee's/client's personal data.
The information collected and stored in the clinic system shall only be used for the following purposes:
1. Medical research
2. Data analysis for clinical management
3. Documentation and reporting to other government agencies as required
4. Review of clinic and government health related programs
5. In compliance with other order
6. Authorized request from health insurance companies and third parties
This is to certify that I give my full consent to undergo laboratory testing. I will not hold TeleCure or any of its members for whatever consequences that may ensue as a result of my decision to be tested. I further affirm that all the information provided herein is true to the best of my knowledge. I have read and understood the foregoing Data Privacy Statement and express my consent for TeleCure to collect, record, organize, update or modify, retrieve, consult, use, consolidate, block, erase or destruct my personal data as part of my information for purposes above stated. I affirm my right to be informed, object to processing, access and rectify, suspend or withdraw my personal data, and be indemnified in case of damages pursuant to the provisions of the Republic Act No. 10173 of the Philippines, or Data Privacy Act 2012.
I will not hold TeleCure responsible for any delays in flights, rebooking of hotels, rebooking of flights, and any logistical concerns that is caused by any positive results for COVID-19 or unavailability of results that is still within the availed turn-around-time.