Last Updated: 13th May 2026

 

1. Purpose of the Consultation / Patient Information Form

 

The Consultation / Patient Information Form is intended to collect relevant personal and medical details to:

 

• Evaluate the patient’s medical condition 
• Obtain medical opinions from partner hospitals and doctors 
• Provide estimated treatment options and costs 
• Assist in planning medical travel to India 

Submission of this form does not constitute a confirmed treatment agreement.

 

2. Accuracy of Information

 

By submitting this form, you confirm that:

 

• All information provided is true, accurate, and complete 
• Medical reports shared are authentic and up to date 
• You will promptly inform us of any changes in your medical condition

Mediva Globecare shall not be responsible for any consequences arising from inaccurate or incomplete information.

 

3. Medical Disclaimer

 

• Mediva Globecare is a medical facilitation service provider and not a healthcare provider. 
• We do not provide medical advice, diagnosis, or treatment. 
• All medical opinions are provided by independent doctors and hospitals. 
• Final diagnosis and treatment decisions rest solely with the treating doctor and hospital. 

4. Consent to Share Information

 

By submitting the form, you provide explicit consent to:

 

• Share your personal and medical information with partner hospitals, doctors, and service providers 
• Use your data for medical evaluation, treatment planning, and travel coordination

All data will be handled in accordance with our Privacy Policy.

 

5. No Guarantee of Treatment or Outcome

 

Submission of this form does not guarantee:

 

• Acceptance by any hospital or doctor 
• Availability of specific treatments 
• Medical outcomes or results

Treatment decisions are subject to medical evaluation and hospital policies.

 

6. Cost Estimates

 

Any cost shared is an approximate estimate based on initial information.

 

Final treatment costs may vary depending on:

 

• Patient condition 
• Additional tests 
• Treatment complexity 
• Hospital policies

Mediva Globecare is not responsible for variations in final billing.

 

7. Limitation of Liability

 

Mediva Globecare shall not be held liable for:

 

• Medical outcomes or complications 
• Decisions taken by hospitals or doctors 
• Delays in treatment or travel 
• Loss, damage, or inconvenience during medical travel

Our role is limited to facilitating coordination and support services.

 

8. International Travel Responsibility

 

Patients are responsible for:

 

• Obtaining valid passports and visas 
• Complying with immigration and legal requirements 
• Following medical advice before, during, and after travel 

9. Data Protection

 

All personal and medical data submitted will be:

 

• Treated as confidential 
• Shared only with authorized parties where necessary
• Processed in accordance with our Privacy Policy and applicable Indian data protection laws 

10. Patient Responsibility

 

The patient agrees to:

 

• Follow medical advice provided by healthcare professionals 
• Disclose full medical history 
• Arrange necessary financial resources for treatment 

11. Emergency Situations

 

Mediva Globecare does not provide emergency medical services. Patients are advised to contact local emergency services or hospitals directly in urgent situations.

 

12. Modification of Terms

 

Mediva Globecare reserves the right to update these Terms at any time. Where changes are material, reasonable notice will be provided.

 

13. Governing Law & Jurisdiction

 

These Terms shall be governed by and interpreted in accordance with the laws of India.

Any disputes shall be subject to the jurisdiction of courts located in Vadodara, Gujarat, India.

 

14. Acceptance of Terms

 

By submitting the Consultation / Patient Information Form on our website, you confirm that you have read, understood, and agree to these Terms & Conditions and the Privacy Policy of Mediva Globecare.