Visitor Physician Form

In consideration of (the "Visitor") visiting MEDICABIL Hospital for the purpose of observing the surgery performed by (position being observed), I hereby acknowledge and agree with the following statements: The sole purpose of this observation is for the education of the Observer. I understand and agree that at all times the Observer must comply with the instructions and requests of all MEDICABIL personnel and all members of the medical team. Visiting Physician may attend operation and is welcome to observe clinical activities but may not participate in the actual delivery of care. They do not perform any healthcare role whatsoever, and are explicitly forbidden to actively participate in patient examinations, procedures, clinical decision making and do not contribute to documentation. Visiting Physician must abide by all applicable MEDICABIL patient confidentiality regulations.

Private Medicabil Hospital values and prioritizes the protection of personal data and prevention of personal data disclosure to unauthorized third parties. To prevent any unauthorized use, as well as to ensure, maintain, and respect confidentiality, Private Medicabil Hospital takes the necessary administrative and technical measures in processing of your personal data. We collect and process your personal data according to the personal data collection and processing procedure, which is accessible via www.medicabil.com. We process and use your personal data in accordance with the applicable legislation in order to contact you, plan our services, and inform you about our services and activities. We may share your personal data and images only on our corporate communication network, and our corporate social media accounts. "I, hereby, acknowledge, represent, and warrant that all personal data, personal information, and documents that I have disclosed to Private Medicabil Hospital are accurate, reliable, and authentic; that, I shall be directly liable for all damages that Private Medicabil Hospital may suffer from in case of any inaccurate, misleading, or outdated information provided by me; and that I have read and understood the contents of this disclaimer."