I have read and understand the Terms of Use and the Privacy Policy.
I understand the risks and limitations of iVOC as outlined in the Terms of Use and Privacy Policy, and hereby consent to forwarding patient-identifiable information to my dental practitioner using iVOC electronic communications.
I agree that I am solely responsible for any claims related to or arising out of such submission and I agree that I will hold my dental practitioner harmless relating to any such claim.
I acknowledge that my dental practitioner and iVOC have not and cannot make any guarantees or assurances concerning the outcome of my preliminary assessment and treatment recommendations without in-person visit to the dental practice and full clinical assessment.
I understand that preliminary virtual advice is based on the information provided and it may change or be negated when the patients is seen clinically.
I understand that by submitting my information, I am confirming that I consent to iVOC developer storing my records on their cloud.
I understand that use of my records may result in disclosure of my individually identifiable health information. Hence, I acknowledge that use of my records is without compensation and that I will not nor shall anyone on my behalf have any right of approval, claim of compensation, or seek or obtain legal, equitable or monetary damages or remedies arising out of any use such that comply with the terms of this Consent.
I authorize my dental practitioner to release my records in his/her possession to other licensed dental or medical practitioner, agents and organizations for the purposes of providing a more accurate assessment and/or treatment recommendation.
I will not, nor shall anyone on my behalf seek legal, equitable or monetary damages or remedies for such disclosure.
I hereby consent to the disclosure(s) as set forth above.