Sitai Multispeciality Clinic

Consent Form

I do hereby state that i have given the consent for my treatment to Sitai hospital and its staff. I have been explained very well about the procedure , aftercare, resultant, after effects. I declared that i am well well aware about the cost, products and instruments involved in this procedure and grant full authority to Sitai hospital to continue with the same. All my questions have been answered to my satisfaction and consent to the risks and terms of procedure.

I agree to assume financial, emotional, and social responsibility for the all expenditure, Medicines and procedures involve. also, i have disclosed any allergy, limitation or ailments i have before procedure to the treating doctor. It is understood that my consent it taken before the medical procedure and is in my complete knowledge. I do not hold Sitai hospital Responsible for anything that happens post procedure.

I hereby sign my consent to proceed with without any pressure and my complete senses.