Athma Hospitals, Trichy
Read the Informed Consent form and Tele-Psychiatry policy stated below by Athma Hospitals.
*** Agreeing to Informed consent is MANDATORY for ALL consultations ***
Block a slot or schedule your appointment with Psychiatrist and psychologist according to the availability or of your choice.
Pay the fees online*
Once the transaction is confirmed our team will confirm the desired time and date.
You, clients can reschedule once and it should be intimated 24 Hrs in advance.
If the client misses appointment time, the fees will not be refunded and he/she has to get reappointment.
If the consultant or therapist couldn’t come online due to emergency situation, another appointment will be given (convenient to both parties) and you need not pay for this.
Once the consultation is over, both the consultant and the client will receive a message (SMS/WHATSAPP/EMAIL) from the ATC and the prescription will reach our pharmacy.
Our pharmacist will reach you for medication and would inform the medicine cost and shipping cost
If you transfer the medicine cost we will send you the medicines via post.
Our team will confirm whether the preferred appointment Date is acceptable based on availability of the Doctor/Consultant/Psychologist/Counsellor through email.
Our team will confirm whether the preferred appointment Time is acceptable on the preferred date based on availability of the Doctor/Consultant/Psychologist/Counsellor through email.
First consultation in ATC will not be provided usually. In some extraordinary circumstances it can be provided:-
You should sign the Informed Consent Form
You should send us a copy of medical fitness, treatment undergoing (like diabetes, hypertension, epilepsy, Asthma etc) from your family physician.
One family member or a close family member must be present for some part of the session to get history from them.
Within the 3rd consultation, you must visit Athma hospital for personal consultation.
Choose your Consultant/Doctor or Psychologist/Counselor
If you have already visited Athma Hospitals, you have been provided with a Registration ID, provide the ID for faster response
Patient can either opt to choose any Doctor/Consultant available at the earliest or prefer to choose any particular Doctor/Consultant.
Patient can either opt to choose any Psychologist/Counsellor available at the earliest or prefer to choose any particular Psychologist/Counsellor.
I hereby accept the Terms & Conditions mentioned in this Informed Consent Form and understood the Telemedicine policy and Disclaimers, as per Athma Hospitals policy.
You are aware, you have already registered (with a file number) at Athma Hospitals for availing clinical services.
Regular follow-ups (aftercare) are essential for successful outcome of treatment for any illness.
We are aware that most of our patients are coming from distant places and spending a lot of their money and time for regular in-person follow-up care.
In this regard, ATC has launched and begun to offer tele-consultation to Indian nationals who are already registered with medical record file at Athma Hospitals.
Telemedicine is the use of electronic information and communication technology to deliver clinical services by registered medical practitioner (RMP) to an individual at different places than the provider.
As you may be aware, people are using video-conference based communication extensively these days. In a similar way, we will use this video-conference based technology for your consultations in ATC clinic at regular intervals similar to your earlier follow ups.
The decision to provide ATC depends upon many factors including but not limited to your geographical location, type of illness, severity of illness, past history, other coexisting medical illnesses etc.
All ATC consultations shall be appointment. The final decision to enroll and continue in ATC is entirely lies with Athma consultants.
Procedural information: ATC session will be around 20 minutes, similar to your regular in-person follow-up, except that you will be at your residence or place of preference.
To ensure our communication and conversations are ethical and within professional boundaries and to avoid future litigations for any violations, it is essential that we record the conversation.
We assure 100% confidentiality.
The entire consultation session will be recorded for ATC purpose. HOwever, if you don't want the session to be recorded you can inform during the beginning of the consultation.
We will also use your UHID file for writing notes of the ATC clinic.
All disputes are subject to jurisdiction of Tiruchirappalli only.
It may be natural to feel anxious initially to see yourself seeking consultation in a video-based format. In case, discomfort gets excessive, we will terminate / postpone at anytime.
You will have to visit Athma Hospitals in person to apply for and receive certificates pertaining to your treatment, if you require at any time.
You will be responsible for payments of data charges of your tele-consultation incur from your side.
Those who require ATC service to minors should register with their parent’s mail-id and phone number. Either of the parents must be present during the session.
It is preferred for elderly (above 65) to consultant along with a caregiver. It will help us to understand the situation better.
ATC consultation is NOT replacement for your in-person consultation and cannot be used for purpose of medical/psychiatric emergencies.
In case of emergency situations like acute intoxication, withdrawal symptoms, acute suicidal tendency, disruption to family & society, you will have to reach our hospital immediately or consult nearest psychiatrist.
In case of medical or surgical emergencies like heart attack, stroke, acute abdominal pain, accident or any trauma (we pray God this situation doesn’t arise & you stay healthy) you have to immediately consult your nearest medical centre and you can inform us @ the following phone numbers
Please ask your treating physician to contact us. We will guide him about continuing our treatment.
Your emergency situation should be handled by your caretaker only whose contact number you had given us in this proforma.
Under no circumstances, emergency-based ATC shall be entertained.
Consultants of Athma hospitals are not responsible for the treatment of co-morbid illness like diabetes, cardiac issues, epilepsy etc.
If you have such condition you inform us the medicines you are taking and send us the copy of your latest prescription periodically.
We will schedule our drugs accordingly. It is also mandatory to show your physician the medicines we have prescribed so that he can also advice his medication.
In the event of your negligence or misinformation and hiding facts and should any adverse effect happens, consultants of Athma Hospitals & the management are not legally or morally responsible.
Pregnant clients should inform about their present condition and those who plan for baby should also inform us in advance.
You have the right to refuse or withdraw consent at any time without assigning any reason/s. Your refusal will not have an adverse effect directly or indirectly to continue your regular in-person care at Athma Hospitals.
The laws that protect privacy and confidentiality of medical information also apply to ATC and encryption will be ensured as per service providers.
We undertake to maintain confidentiality of the information obtained during ATC except the condition laid in clause 8.4.
8.1 e-Prescription slip:
If needed, we will send you the scanned copy of prescription to your mail id / phone number which you will be providing in this consent form.
In case of any issues pertaining to prescription and side effect of medications, contact our emergency phone numbers 0431 2 555 666, 98 42 42 21 21, 98 42 42 64 64 or message to your consultant. He/She will reach you to advice.
8.2 Expected benefits from ATC:
* Consultation at your door steps.
* Time & expenses of travel can be saved, which we believe is a cost-effective method for your ongoing care.
8.3 Proxy follow ups: Proxy follow-ups of any kind will NOT be entertained.
8.4 Expected risks in ATC:
Possibility of technical snag or communication failure can occur. If any technical snag or communication failure occurs, an attempt shall be made to reach you through the telephone/mobile number provided by you to resolve the issue.
If it is not possible to resolve the technical issue, a new date for ATC will be provided by us.
In rare instances, there may be a breach in privacy by the telecommunication service providers, which is beyond the control of clinical team.
I have been informed and explained about the procedures of this ATC. Also, the treating doctors have discussed with me about my participation and have taken my permission. Possible risks too have been explained to me as stated in the information in a language understandable by me. I also understand that physical examination (for examining drug side-effects and other findings) are not part of ATC.
I understand that I have the right to withhold or withdraw my consent for ATC sessions at any point of time, without affecting any of my future treatment. I may revoke my consent in writing at any point of time by contacting my consultants. As long as this consent is in force (has not been revoked by me or by the doctor), Athma Hospital doctors may provide health care services to me via ATC clinic without the need for me to sign another consent form.
I have been explained that in case I require certificates/ documents/ medical record pertaining to my treatment, I will have to visit Athma Hospitals in person to apply for and receive the same. I understand that I will be responsible for payments of data charges (from my side). I am also aware about data security and encryption risks as per service provider/s. I also understand that the treating team has the right to terminate ATC, whenever he/she feels that in-person face to face consultation is needed or any other reason/s where ATC is not possible. I also understand that, I shall maintain privacy/confidentiality of the doctor’s consultation at my end.
I am also aware that Athma Hospitals team will contact me or my family member over my/their phone for various reasons including but not limited to fixing video consultation appointment, during and after ATC (if required). I am also aware that there may be a non-medical person (i.e., tele-technician) in the ATC studio during my ATC.
I clearly understand that Athma Hospitals, ATC, Consultants or therapists will not hold any responsibility for any adverse effects or situations occur.
In case the consultant advices to do consultation along with a caretaker, spouse, sibling in the best interest of care I will abide by it.
I, hereby undersigned, give my consent to be a participant of tele-after care consultation.