Declaration and Terms & Conditions of Service โ Healthlinks Labs
Thank you. Your consent has been recorded and will be reviewed by our team.
THIS DECLARATION is made on this day of ________________ 20____ by the undersigned patient (hereinafter referred to as "the patient").
I hereby give my informed and voluntary consent to the provision of medical services, diagnostic tests and (imaging procedures if required) by Health-link Laboratory. I acknowledge that such services are provided strictly for diagnostic and medical purposes only.
I acknowledge and agree that all my personal, medical, and health-related information shall be treated as confidential and shall be collected, processed, stored, and used solely for legitimate medical purposes. Such information shall not be disclosed to any third party without my prior written consent, except where disclosure is required by law or is necessary in the event of a medical emergency, in accordance with applicable data protection and privacy laws.
I expressly acknowledge that the laboratory is not affiliated with, nor does it act as, an employment agency, travel agency, immigration consultant, or visa service provider. Any referral to the laboratory does not create such an association. I further acknowledge that the laboratory does not provide visa services, immigration assistance, or any guarantees relating to employment, travel, or visa outcomes.
I confirm that I am required to accurately declare and inform the attending medical personnel of my intended country of travel, where applicable, to enable the laboratory to conduct the appropriate medical examinations and tests.
I understand and agree that all medical services are provided strictly on a pre-payment basis and that all fees paid are non-refundable, whether or not the services are completed, and under no circumstances shall refunds be issued.
I undertake to provide full, accurate, truthful information to the medical personnel to facilitate proper diagnosis and medical evaluation. I acknowledge that the provision of incomplete, inaccurate, or misleading information may adversely affect the quality, accuracy, or outcome of the medical services provided, and I accept full responsibility for any consequences arising therefrom.
I acknowledge that my participation in the medical services is entirely voluntary and that I may withdraw my consent at any time. However, I understand and agree that any fees already paid shall remain non-refundable notwithstanding such withdrawal.
I hereby indemnify, defend, and hold harmless the Laboratory, its officers, employees, and agents from and against any and all claims, demands, losses, liabilities, damages, or expenses arising from or related to acts, omissions, misrepresentations, or conduct of third parties, including but not limited to referring agencies or intermediaries.
I confirm that I have read and fully understood the contents of this Patient Consent Form, Declaration, and Terms & Conditions. I voluntarily agree to be bound by the terms set out herein and undertake to comply with all applicable confidentiality and data protection obligations.
Important: This online consent form is for convenience only. A signed physical copy may also be required at our laboratory. Please bring your ID/Passport when visiting. For any questions, call us at +254 725 921 024 or chat on WhatsApp.