Consultation Consent Form
Informed Consent Form for Ayurvedic Consultation
"Welcome to AKCI Endure Ayurveda Healthcare Services. We are committed to offering personalized and holistic Ayurvedic care rooted in traditional wisdom.
Before proceeding with your consultation, we kindly request you to complete the consent form below. This ensures ethical practice, legal safety, and clarity in your healing journey".
Why is Consent Important?
By filling out this form, you acknowledge that:
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You are voluntarily choosing to receive Ayurvedic consultation.
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You understand that Ayurveda is a traditional system and may differ from conventional (allopathic) medicine.
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You are aware of the general nature of Ayurvedic treatments, which may include herbal formulations, dietary/lifestyle recommendations, and detox therapies.
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You take responsibility for providing accurate health details for safe treatment.
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You understand that this consultation does not replace emergency or modern medical care.
Please Fill the Consent Form Below
👉 or Click Here to Open the Form
The form takes less than 2 minutes and is mobile-friendly.
Your Privacy is Our Priority
All information submitted is strictly confidential and used only for your consultation and treatment planning. We do not share or sell your data.