MBBS - Jawaharlal Nehru Medical College, Belgaum | Rajiv Gandhi University of Health Sciences, Bangalore, India | MD (Internal Medicine) - Kasturba Medical College, Mangalore | Manipal Academy of Higher Education (MAHE) | DNB (Nephrology): National Board of Examinations (NBE), New Delhi
All slots are booked for the doctor today. Please check for another day or call us at 1800 102 4647.
Next Available Slot
Doctor Consultation Charges (Video Consultation) - Rs. Price not Available/-
Confirm Appointment
You will receive an SMS with a verification code on this number.
Are you new to hospital ?
Go Back
We have sent you an OTP on
+91 8745360000
Resend OTP
Did not receive OTP? You can request for another OTP click resend option
Go BackBook Appointment
Your appointment is confirmed.
The details will be shared via Email & SMS
Note :Temporary visitor restriction, only one attendant is permitted with the patient. Your cooperation is solicited.
Confirm Appointment
Are you new to hospital?
Go Back
Go Back
Your Appointment will be confirmed after generating Pre Registration ID and making payment for consultation now.
Patient Registration Details
1
Basic Details
Other Details
Declaration
Go Back
Patient Registration Details
Basic Details
2
Other Details
Declaration
Go Back
Patient Registration Details
Basic Details
Other Details
3
Declaration
Consent and Declaration
I, the undersigned, declare that the above information provided by me are true to the best of my knowledge and hereby provide my consent to the Manipal Hospital to provide Medical Care, Treatment, Conduct Investigations and Diagnostic Procedures necessary for the above mentioned individual by Medical Staff at Manipal Hospital. I, also understand that Manipal Hospital will not be responsible for any loss, damage or theft of any Personal Property/Belongings of Me/Patient/Visitors within the Hospital Premises. Including Patients rooms and Parking area. I agree to follow all the rules and regulations of Hospital and clear all the expenses incurred for My/Patient treatment on time as per the Terms and Conditions of Manipal Hospital,
I would like to receive Self/Patient reports by Email
I would like to receive Hospital Info Alerts reports by Email
If consent provided on behalf of the patient.
I hereby give my consent and authorize Manipal Hospitals to process, store,use,disclose my personal or sensitive information/data collected as per Manipal Privacy Policy
Go Back
We have sent you an OTP on
Resend OTP
Did not receive an OTP? You Can Request For Another OTP Click Resend Option
Go Back
Patient Details
×
ALREADY APPOINTMENT IS AVAILABLE FOR THIS PATIENT
×
We see that your email address is not updated in our system. Hence, we couldn't able to complete this transaction.We request you to call our appointment helpline number: 1800 102 5555 to book an appointment.
Member of Nephrology Association of Karnataka (NAK)
Member of Indian Society of Nephrology Member of Indian Society of Nephrology -Southern Chapter
Member of Indian Society of Organ Transplantation
Field of Expertise
Acute Kidney Disease
Chronic Kidney Disease
Renal Transplantation
Desensitization protocols
ABO Incompatible Transplants
Swap Transplants
Placement of tunnelled cuffed catheters
Kidney Biopsies
Vascular Access
Languages Spoken
English
Hindi
Kannada
Malayalam
Awards & Achievements
Winner of the H.L Trivedi Gold Medal in Nephrology from National Board of Examinations, New Delhi - December 2011
Gold Medal in Internal Medicine –December 2006 from Manipal Academy of Higher Education (M.A.H.E)
Winner of 3 Gold medals from Rajiv Gandhi University of Health Sciences in the Final MBBS exam 2001 for
Securing 1st Rank in KarnatakaSecuring highest marks in Medicine
Securing highest marks in Paediatrics
Winner of 3 Gold medals from Jawaharlal Nehru Medical College for the Final MBBS exam 2001.
Best outgoing student of Jawaharlal Nehru Medical College 1996 batch.
Winner of B BRAUN Medical Trust Scholarship 2005 (A scholarship given to only 10 outstanding medical graduates pursuing PG studies all over India.)
Securing State Rank at 1st MBBS exam 1998, Rajiv Gandhi University of Health Sciences (RGUHS)
Talks & Publications
Clinico - Pathological correlation of renal allograft function in renal Transplant recipients: A protocol biopsy study 2004-2006:
Clinico - pathological correlation of Left Atrial size in patients with Atrial fibrillation Presentations:
Winner of Best Paper at Indian Society of Nephrology, South Zone (ISNSC), 2014 -“Clinico - pathological correlation of renal allograft function in renal transplant recipients: A protocol biopsy study”
Presented paper on “Role of Plasmapheresis in Atypical HUS: A single center experience” at ISN south zone (ISNSC) 2010
Presented paper on “Comparison between myocardial perfusion Scan and Conventional Angiogram in Pretransplant Donor Evaluation” at ISN south zone conference (ISNSC) 2010
Delivered guest lecture at Dr. B.R Ambedkar Medical College: “Diabetic Nephropathy – Recent Advances”
Delivered Guest lecture at Peritoneal Dialysis College, January 2014
Delivered Guest “De –Novo immunosuppression for better long term renal outcomes” at Dubai – April 2014
Invited Speaker to Jordanian society of Nephrology 2016 –delivered lectures on
1. AKI in ICU
2. Burden of CKD in developing countries
Publications:
“Idiopathic CD4 T lymphocytopenia” –a diagnostic dilemma: Rohan Augustine , Mohammed Khalid ,ZK Misri. JAPI VOL 58: 2010
Spectrum of renal involvement in hematolymphoid neoplasms: Renal biopsy findings of 12 cases:M Vankalakunti, A Rohan, S Vishwanath, S Rampure, R Bonu, K Babu, HS Ballal; Indian Journal of Nephrology, Year 2015, Volume 25, Issue 4 [p. 201-205]
IgG4 related renal disease: A wolf in sheep's clothing: Rohan, B Ravishankar, S Vishwanath, M Vankalakunti, B Kishore, HS Ballal: Indian Journal of Nephrology, Year 2014, Volume 24, Issue 6 [p. 382-386]
Dense deposit disease involving C3 and C4d Deposits:M Vankalakunti, R Augustine, R Jangamani, V Siddini, R Bonu, K Babu, SH Ballal: Indian Journal of Nephrology, Year 2018, Volume 28, Issue 1 [p. 61-64]
Renin Angiotensin Aldosterone System Blockers, Hypertension and clinical outcomes: Babu SK, Rohan A. Hypertension: 2018; 4(3):157-165
TEXT AUTHORS
MANUAL OF NEPHROLOGY – DR PRANAV JHA --- CHAPTER - MANAGEMENT OF CKD
ESSENTIAL IN NEPHROLOGY, 3/E- DR KASI VISWESHWARAN – CHAPTER – RENAL VASCULITIS AND RPGN
Dr Rohan Augustine, Consultant – Nephrology and Transplant Physician, Manipal Hospitals Old Airport road shares tips to keep Kidneys healthy on this World Kidney Day. Click Here
Languages Spoken
English
Hindi
Kannada
Malayalam
Fellowship & Membership
Member of Karnataka Medical Council
Member of Nephrology Association of Karnataka (NAK)
Member of Indian Society of Nephrology Member of Indian Society of Nephrology -Southern Chapter
Member of Indian Society of Organ Transplantation
Field of Expertise
Acute Kidney Disease
Chronic Kidney Disease
Renal Transplantation
Desensitization protocols
ABO Incompatible Transplants
Swap Transplants
Placement of tunnelled cuffed catheters
Kidney Biopsies
Vascular Access
Awards & Achievements
Winner of the H.L Trivedi Gold Medal in Nephrology from National Board of Examinations, New Delhi - December 2011
Gold Medal in Internal Medicine –December 2006 from Manipal Academy of Higher Education (M.A.H.E)
Winner of 3 Gold medals from Rajiv Gandhi University of Health Sciences in the Final MBBS exam 2001 for
Securing 1st Rank in KarnatakaSecuring highest marks in Medicine
Securing highest marks in Paediatrics
Winner of 3 Gold medals from Jawaharlal Nehru Medical College for the Final MBBS exam 2001.
Best outgoing student of Jawaharlal Nehru Medical College 1996 batch.
Winner of B BRAUN Medical Trust Scholarship 2005 (A scholarship given to only 10 outstanding medical graduates pursuing PG studies all over India.)
Securing State Rank at 1st MBBS exam 1998, Rajiv Gandhi University of Health Sciences (RGUHS)
Talks & Publications
Clinico - Pathological correlation of renal allograft function in renal Transplant recipients: A protocol biopsy study 2004-2006:
Clinico - pathological correlation of Left Atrial size in patients with Atrial fibrillation Presentations:
Winner of Best Paper at Indian Society of Nephrology, South Zone (ISNSC), 2014 -“Clinico - pathological correlation of renal allograft function in renal transplant recipients: A protocol biopsy study”
Presented paper on “Role of Plasmapheresis in Atypical HUS: A single center experience” at ISN south zone (ISNSC) 2010
Presented paper on “Comparison between myocardial perfusion Scan and Conventional Angiogram in Pretransplant Donor Evaluation” at ISN south zone conference (ISNSC) 2010
Delivered guest lecture at Dr. B.R Ambedkar Medical College: “Diabetic Nephropathy – Recent Advances”
Delivered Guest lecture at Peritoneal Dialysis College, January 2014
Delivered Guest “De –Novo immunosuppression for better long term renal outcomes” at Dubai – April 2014
Invited Speaker to Jordanian society of Nephrology 2016 –delivered lectures on
1. AKI in ICU
2. Burden of CKD in developing countries
Publications:
“Idiopathic CD4 T lymphocytopenia” –a diagnostic dilemma: Rohan Augustine , Mohammed Khalid ,ZK Misri. JAPI VOL 58: 2010
Spectrum of renal involvement in hematolymphoid neoplasms: Renal biopsy findings of 12 cases:M Vankalakunti, A Rohan, S Vishwanath, S Rampure, R Bonu, K Babu, HS Ballal; Indian Journal of Nephrology, Year 2015, Volume 25, Issue 4 [p. 201-205]
IgG4 related renal disease: A wolf in sheep's clothing: Rohan, B Ravishankar, S Vishwanath, M Vankalakunti, B Kishore, HS Ballal: Indian Journal of Nephrology, Year 2014, Volume 24, Issue 6 [p. 382-386]
Dense deposit disease involving C3 and C4d Deposits:M Vankalakunti, R Augustine, R Jangamani, V Siddini, R Bonu, K Babu, SH Ballal: Indian Journal of Nephrology, Year 2018, Volume 28, Issue 1 [p. 61-64]
Renin Angiotensin Aldosterone System Blockers, Hypertension and clinical outcomes: Babu SK, Rohan A. Hypertension: 2018; 4(3):157-165
TEXT AUTHORS
MANUAL OF NEPHROLOGY – DR PRANAV JHA --- CHAPTER - MANAGEMENT OF CKD
ESSENTIAL IN NEPHROLOGY, 3/E- DR KASI VISWESHWARAN – CHAPTER – RENAL VASCULITIS AND RPGN
Dr Rohan Augustine, Consultant – Nephrology and Transplant Physician, Manipal Hospitals Old Airport road shares tips to keep Kidneys healthy on this World Kidney Day. Click Here
Field of Expertise
Acute Kidney Disease
Chronic Kidney Disease
Renal Transplantation
Desensitization protocols
ABO Incompatible Transplants
Swap Transplants
Placement of tunnelled cuffed catheters
Kidney Biopsies
Vascular Access
Fellowship & Membership
Member of Karnataka Medical Council
Member of Nephrology Association of Karnataka (NAK)
Member of Indian Society of Nephrology Member of Indian Society of Nephrology -Southern Chapter
Member of Indian Society of Organ Transplantation
Languages Spoken
English
Hindi
Kannada
Malayalam
Awards & Achievements
Winner of the H.L Trivedi Gold Medal in Nephrology from National Board of Examinations, New Delhi - December 2011
Gold Medal in Internal Medicine –December 2006 from Manipal Academy of Higher Education (M.A.H.E)
Winner of 3 Gold medals from Rajiv Gandhi University of Health Sciences in the Final MBBS exam 2001 for
Securing 1st Rank in KarnatakaSecuring highest marks in Medicine
Securing highest marks in Paediatrics
Winner of 3 Gold medals from Jawaharlal Nehru Medical College for the Final MBBS exam 2001.
Best outgoing student of Jawaharlal Nehru Medical College 1996 batch.
Winner of B BRAUN Medical Trust Scholarship 2005 (A scholarship given to only 10 outstanding medical graduates pursuing PG studies all over India.)
Securing State Rank at 1st MBBS exam 1998, Rajiv Gandhi University of Health Sciences (RGUHS)
Talks & Publications
Clinico - Pathological correlation of renal allograft function in renal Transplant recipients: A protocol biopsy study 2004-2006:
Clinico - pathological correlation of Left Atrial size in patients with Atrial fibrillation Presentations:
Winner of Best Paper at Indian Society of Nephrology, South Zone (ISNSC), 2014 -“Clinico - pathological correlation of renal allograft function in renal transplant recipients: A protocol biopsy study”
Presented paper on “Role of Plasmapheresis in Atypical HUS: A single center experience” at ISN south zone (ISNSC) 2010
Presented paper on “Comparison between myocardial perfusion Scan and Conventional Angiogram in Pretransplant Donor Evaluation” at ISN south zone conference (ISNSC) 2010
Delivered guest lecture at Dr. B.R Ambedkar Medical College: “Diabetic Nephropathy – Recent Advances”
Delivered Guest lecture at Peritoneal Dialysis College, January 2014
Delivered Guest “De –Novo immunosuppression for better long term renal outcomes” at Dubai – April 2014
Invited Speaker to Jordanian society of Nephrology 2016 –delivered lectures on
1. AKI in ICU
2. Burden of CKD in developing countries
Publications:
“Idiopathic CD4 T lymphocytopenia” –a diagnostic dilemma: Rohan Augustine , Mohammed Khalid ,ZK Misri. JAPI VOL 58: 2010
Spectrum of renal involvement in hematolymphoid neoplasms: Renal biopsy findings of 12 cases:M Vankalakunti, A Rohan, S Vishwanath, S Rampure, R Bonu, K Babu, HS Ballal; Indian Journal of Nephrology, Year 2015, Volume 25, Issue 4 [p. 201-205]
IgG4 related renal disease: A wolf in sheep's clothing: Rohan, B Ravishankar, S Vishwanath, M Vankalakunti, B Kishore, HS Ballal: Indian Journal of Nephrology, Year 2014, Volume 24, Issue 6 [p. 382-386]
Dense deposit disease involving C3 and C4d Deposits:M Vankalakunti, R Augustine, R Jangamani, V Siddini, R Bonu, K Babu, SH Ballal: Indian Journal of Nephrology, Year 2018, Volume 28, Issue 1 [p. 61-64]
Renin Angiotensin Aldosterone System Blockers, Hypertension and clinical outcomes: Babu SK, Rohan A. Hypertension: 2018; 4(3):157-165
TEXT AUTHORS
MANUAL OF NEPHROLOGY – DR PRANAV JHA --- CHAPTER - MANAGEMENT OF CKD
ESSENTIAL IN NEPHROLOGY, 3/E- DR KASI VISWESHWARAN – CHAPTER – RENAL VASCULITIS AND RPGN
Dr Rohan Augustine, Consultant – Nephrology and Transplant Physician, Manipal Hospitals Old Airport road shares tips to keep Kidneys healthy on this World Kidney Day. Click Here
Awards & Achievements
Winner of the H.L Trivedi Gold Medal in Nephrology from National Board of Examinations, New Delhi - December 2011
Gold Medal in Internal Medicine –December 2006 from Manipal Academy of Higher Education (M.A.H.E)
Winner of 3 Gold medals from Rajiv Gandhi University of Health Sciences in the Final MBBS exam 2001 for
Securing 1st Rank in KarnatakaSecuring highest marks in Medicine
Securing highest marks in Paediatrics
Winner of 3 Gold medals from Jawaharlal Nehru Medical College for the Final MBBS exam 2001.
Best outgoing student of Jawaharlal Nehru Medical College 1996 batch.
Winner of B BRAUN Medical Trust Scholarship 2005 (A scholarship given to only 10 outstanding medical graduates pursuing PG studies all over India.)
Securing State Rank at 1st MBBS exam 1998, Rajiv Gandhi University of Health Sciences (RGUHS)
Fellowship & Membership
Member of Karnataka Medical Council
Member of Nephrology Association of Karnataka (NAK)
Member of Indian Society of Nephrology Member of Indian Society of Nephrology -Southern Chapter
Member of Indian Society of Organ Transplantation
Field of Expertise
Acute Kidney Disease
Chronic Kidney Disease
Renal Transplantation
Desensitization protocols
ABO Incompatible Transplants
Swap Transplants
Placement of tunnelled cuffed catheters
Kidney Biopsies
Vascular Access
Languages Spoken
English
Hindi
Kannada
Malayalam
Talks & Publications
Clinico - Pathological correlation of renal allograft function in renal Transplant recipients: A protocol biopsy study 2004-2006:
Clinico - pathological correlation of Left Atrial size in patients with Atrial fibrillation Presentations:
Winner of Best Paper at Indian Society of Nephrology, South Zone (ISNSC), 2014 -“Clinico - pathological correlation of renal allograft function in renal transplant recipients: A protocol biopsy study”
Presented paper on “Role of Plasmapheresis in Atypical HUS: A single center experience” at ISN south zone (ISNSC) 2010
Presented paper on “Comparison between myocardial perfusion Scan and Conventional Angiogram in Pretransplant Donor Evaluation” at ISN south zone conference (ISNSC) 2010
Delivered guest lecture at Dr. B.R Ambedkar Medical College: “Diabetic Nephropathy – Recent Advances”
Delivered Guest lecture at Peritoneal Dialysis College, January 2014
Delivered Guest “De –Novo immunosuppression for better long term renal outcomes” at Dubai – April 2014
Invited Speaker to Jordanian society of Nephrology 2016 –delivered lectures on
1. AKI in ICU
2. Burden of CKD in developing countries
Publications:
“Idiopathic CD4 T lymphocytopenia” –a diagnostic dilemma: Rohan Augustine , Mohammed Khalid ,ZK Misri. JAPI VOL 58: 2010
Spectrum of renal involvement in hematolymphoid neoplasms: Renal biopsy findings of 12 cases:M Vankalakunti, A Rohan, S Vishwanath, S Rampure, R Bonu, K Babu, HS Ballal; Indian Journal of Nephrology, Year 2015, Volume 25, Issue 4 [p. 201-205]
IgG4 related renal disease: A wolf in sheep's clothing: Rohan, B Ravishankar, S Vishwanath, M Vankalakunti, B Kishore, HS Ballal: Indian Journal of Nephrology, Year 2014, Volume 24, Issue 6 [p. 382-386]
Dense deposit disease involving C3 and C4d Deposits:M Vankalakunti, R Augustine, R Jangamani, V Siddini, R Bonu, K Babu, SH Ballal: Indian Journal of Nephrology, Year 2018, Volume 28, Issue 1 [p. 61-64]
Renin Angiotensin Aldosterone System Blockers, Hypertension and clinical outcomes: Babu SK, Rohan A. Hypertension: 2018; 4(3):157-165
TEXT AUTHORS
MANUAL OF NEPHROLOGY – DR PRANAV JHA --- CHAPTER - MANAGEMENT OF CKD
ESSENTIAL IN NEPHROLOGY, 3/E- DR KASI VISWESHWARAN – CHAPTER – RENAL VASCULITIS AND RPGN
Dr Rohan Augustine, Consultant – Nephrology and Transplant Physician, Manipal Hospitals Old Airport road shares tips to keep Kidneys healthy on this World Kidney Day. Click Here
Talks & Publications
Clinico - Pathological correlation of renal allograft function in renal Transplant recipients: A protocol biopsy study 2004-2006:
Clinico - pathological correlation of Left Atrial size in patients with Atrial fibrillation Presentations:
Winner of Best Paper at Indian Society of Nephrology, South Zone (ISNSC), 2014 -“Clinico - pathological correlation of renal allograft function in renal transplant recipients: A protocol biopsy study”
Presented paper on “Role of Plasmapheresis in Atypical HUS: A single center experience” at ISN south zone (ISNSC) 2010
Presented paper on “Comparison between myocardial perfusion Scan and Conventional Angiogram in Pretransplant Donor Evaluation” at ISN south zone conference (ISNSC) 2010
Delivered guest lecture at Dr. B.R Ambedkar Medical College: “Diabetic Nephropathy – Recent Advances”
Delivered Guest lecture at Peritoneal Dialysis College, January 2014
Delivered Guest “De –Novo immunosuppression for better long term renal outcomes” at Dubai – April 2014
Invited Speaker to Jordanian society of Nephrology 2016 –delivered lectures on
1. AKI in ICU
2. Burden of CKD in developing countries
Publications:
“Idiopathic CD4 T lymphocytopenia” –a diagnostic dilemma: Rohan Augustine , Mohammed Khalid ,ZK Misri. JAPI VOL 58: 2010
Spectrum of renal involvement in hematolymphoid neoplasms: Renal biopsy findings of 12 cases:M Vankalakunti, A Rohan, S Vishwanath, S Rampure, R Bonu, K Babu, HS Ballal; Indian Journal of Nephrology, Year 2015, Volume 25, Issue 4 [p. 201-205]
IgG4 related renal disease: A wolf in sheep's clothing: Rohan, B Ravishankar, S Vishwanath, M Vankalakunti, B Kishore, HS Ballal: Indian Journal of Nephrology, Year 2014, Volume 24, Issue 6 [p. 382-386]
Dense deposit disease involving C3 and C4d Deposits:M Vankalakunti, R Augustine, R Jangamani, V Siddini, R Bonu, K Babu, SH Ballal: Indian Journal of Nephrology, Year 2018, Volume 28, Issue 1 [p. 61-64]
Renin Angiotensin Aldosterone System Blockers, Hypertension and clinical outcomes: Babu SK, Rohan A. Hypertension: 2018; 4(3):157-165
TEXT AUTHORS
MANUAL OF NEPHROLOGY – DR PRANAV JHA --- CHAPTER - MANAGEMENT OF CKD
ESSENTIAL IN NEPHROLOGY, 3/E- DR KASI VISWESHWARAN – CHAPTER – RENAL VASCULITIS AND RPGN
Dr Rohan Augustine, Consultant – Nephrology and Transplant Physician, Manipal Hospitals Old Airport road shares tips to keep Kidneys healthy on this World Kidney Day. Click Here
Fellowship & Membership
Member of Karnataka Medical Council
Member of Nephrology Association of Karnataka (NAK)
Member of Indian Society of Nephrology Member of Indian Society of Nephrology -Southern Chapter
Member of Indian Society of Organ Transplantation
Field of Expertise
Acute Kidney Disease
Chronic Kidney Disease
Renal Transplantation
Desensitization protocols
ABO Incompatible Transplants
Swap Transplants
Placement of tunnelled cuffed catheters
Kidney Biopsies
Vascular Access
Languages Spoken
English
Hindi
Kannada
Malayalam
Awards & Achievements
Winner of the H.L Trivedi Gold Medal in Nephrology from National Board of Examinations, New Delhi - December 2011
Gold Medal in Internal Medicine –December 2006 from Manipal Academy of Higher Education (M.A.H.E)
Winner of 3 Gold medals from Rajiv Gandhi University of Health Sciences in the Final MBBS exam 2001 for
Securing 1st Rank in KarnatakaSecuring highest marks in Medicine
Securing highest marks in Paediatrics
Winner of 3 Gold medals from Jawaharlal Nehru Medical College for the Final MBBS exam 2001.
Best outgoing student of Jawaharlal Nehru Medical College 1996 batch.
Winner of B BRAUN Medical Trust Scholarship 2005 (A scholarship given to only 10 outstanding medical graduates pursuing PG studies all over India.)
Securing State Rank at 1st MBBS exam 1998, Rajiv Gandhi University of Health Sciences (RGUHS)
Rescheduling of doctor appointment can be done within a week from the date of appointment as per doctor / slot availability.
Cancellation can be done with full refund of the payment.
2) Up to 2 hrs of appointment time:
Rescheduling of doctor appointment can be done within a week from the date of appointment as per doctor / slot availability.
Cancellation of appointment and refund with a cancellation charge of Rs.100/-.
3) Less than 2 hrs of appointment time:
Rescheduling / cancellation of appointment cannot be done, payment non-refundable in this case. However, Units can have the discretion to refund / reschedule in case of exigencies.
Please note : While making the payment online, above mentioned payment terms and conditions should be agreed upon by customers, by clicking in a box ( I agree) and then proceed for payment.
PATIENT CONSENT FOR TELEMEDICINE / TELECONSULTATION
Telemedicine involves the use of electronic communications to enable Hospitals/health care centres to provide healthcare services at different locations through exchange of information and for the purpose of improving patient care. I, confirm that I have received the necessary information to sign this form and I agree to take part in a live telemedicine/teleconsultation session with Manipal Hospitals.
I understand that:
Interactive audio/video connection, electronic information and communication technologies shall be used for providing me with a telemedicine/teleconsultation.
In case the information obtained via teleconsultation is not sufficient to make a diagnosis, I may be required to go to Manipal Hospitals for in-person consultation.
Though the telemedicine/teleconsultation is private, other individuals, medical and non-medical, may be present to facilitate the consultation and that they will take reasonable steps to maintain confidentiality of the information obtained.
A limited visual examination will take place during the telemedicine/teleconsultation and that it cannot replace a full medical examination done physically at Manipal Hospitals.
I have the right to withhold or withdraw my consent to the use of telemedicine/teleconsultation in the course of my care at any time, without affecting my right to future care or treatment. I may also revoke my consent orally or in writing at any time.
I may be prescribed medicines for treatment or/and diagnostic tests to further evaluate my health condition. All prescription will be sent to my registered email/phone no. Manipal Hospitals will keep a record of the consultation & prescription in my medical record.
The telemedicine/teleconsultation services are not in any way intended to be used in case of an emergency.
There can be potential risks with this technology e.g information transmitted may not be sufficient to allow for appropriate medical decision, the video /audio may disconnect/stop in-between, security protocols could fail causing a breach of privacy of personal medical information.
Any relevant medical information about me including details of my medical history, examinations, x-rays, tests, photographs or other images may be transmitted /shared by Manipal Hospitals with their staff, specialist, business partners for the purpose of record, communications, feedback, enquires, follow ups, analysis etc.
Manipal Hospitals responsibility shall terminate upon conclusion of this teleconference.
I hereby consent that in consideration for the telemedicine / teleconsultation services rendered to me, I agree to pay the relevant charges.
I hereby release Manipal Hospitals, its personnel and any other person participating in my care from any and all liability which may arise from authorized use of such Video / E-Consultation, Videotapes, Digital recording films and Photographs. I have read this document and understand the risk of the telemedicine / teleconsultation.
I hereby consent to participate in a telemedicine / teleconsultation under the terms & conditions described in this document.