5th Street - 1011 W 5th St, Suite 120, Austin, TX 78703
Select Your Specialty
Choose the medical specialty you need
Echocardiograms
₹310
Stress tests
₹754
ECG Monitoring
₹420
Heart Catheterization
₹150
Cardiac Rehabilitation
₹200
Holter Monitoring
₹350
Choose Appointment Type
Select how you'd like to consult with the doctor
In-Person Visit
Visit our clinic
Video Consultation
Online video call
Phone Consultation
Audio call only
Home Visit
Doctor at home
Select Date & Time
Calendar and time slot selection will be implemented here
Your Information
Patient information form will be implemented here
Treatment Consent
Please review and provide your digital consent to proceed
PATIENT REGISTRATION / TREATMENT CONSENT FORM
(DPDP Aligned)
PATIENT CONSENT FOR COLLECTION & PROCESSING OF PERSONAL DATA
I,
,
hereby give my free, specific, informed and unconditional consent to
Nephrocare India Ltd. (“NCIL”) to collect, store, process and use my Personal Data,
including health and medical information, for the following purposes:
Medical consultation, diagnosis, treatment, dialysis, and follow-up care
Billing, insurance processing, and regulatory compliance
Quality improvement, audits, training, and permitted research
Communication regarding healthcare services and wellness programs
I understand that:
NCIL is the Data Fiduciary under the Digital Personal Data Protection Act, 2023.
My data may be shared with authorized healthcare professionals, diagnostic partners, and service providers strictly for the above purposes.
I may withdraw my consent at any time by contacting NCIL; however, withdrawal may affect the provision of services.
I have the right to access, correct, update, or request erasure of my Personal Data.
