Patient consent and service agreement
Welcome to E-Vida Home Healthcare's patient consent and service agreement page.
Definition
- “Patient” who will receive services under the agreement.
- “LAR” legally acceptable representative of PATIENT.
- “E-VIDA” refers to as E-Vida Home Healthcare.
General Terms
- E-VIDA services are non-transferable and only cover the patient named in the Patient Services Agreement.
- The PATIENT/LAR confirms that the nature and scope of Services have been fully explained to him/her.
- The Patient has further completed the Patient Registration Form providing general details, physician details, emergency contact details, medical history including pre-existing medical condition and medication information to the best of his/her knowledge.
- E-VIDA services are not a substitute for emergency medical services offered at hospitals. In case of a medical emergency, the caregiver should contact emergency service providers such as ambulances and/or rush to nearest hospital along with informing E-VIDA about it.
PATIENT/LAR Obligations
- To provide full and accurate information about PATIENT's health, medical history and personal care needs to the E-VIDA Professional.
- To strictly adhere to the advice and instructions given by the Treating Physician.
- To inform Treating Physician immediately, if: changes in his / her health condition or care needs; or a medical emergency develops; or PATIENT's health deteriorates abruptly; or In the unfortunate event of PATIENT death.
- To provide following documents for PATIENT including one (1) Proof of Identity and one (1) Proof of Address.
- To provide the address of PATIENT/family member where the E-VIDA Staff will be required to report to in writing and ensure that the said address is a safe and habitable place for E-VIDA Staff.
- In case the PATIENT/LAR wishes to change any scope of Services or E-VIDA Staff or equipment, the same needs to be intimated to E-VIDA in writing along with supporting reasons in advance. E-VIDA shall review and approve the change request in its sole discretion.
- To inform E-VIDA of any non-availability of PATIENT due to travel etc. at least 2 business days in advance. In case of failure to inform, the Services shall be deemed to have been rendered by E-VIDA or E-VIDA Staff becomes aware of the absence of the PATIENT.
- To treat all E-VIDA Staff or representative involved in the Services, whether residential or not, with courtesy and respect at all times. Any kind of violent or abusive behavior including foul language, physical attack or assault, mental harassment, sexual assault and harassment is unacceptable. Any such acts shall result in immediate termination of contract apart from other suitable police and legal action by E-VIDA
- Any acts of individual misdemeanor or any unlawful behavior on part of any E-VIDA employee/worker/staff provided would not bind E-VIDA into any legal culpability.
- The PATIENT/LAR will not hire or seek to hire any E-VIDA Staff directly or indirectly, or solicit, induce, recruit or encourage any of E-VIDA employees or independent contractors to leave their engagement with E-VIDA for any reason. Any such action will render PATIENT/LAR liable to pay liquidated damages towards loss of cost incurred for recruitment and training of the E-VIDA Staff The PATIENT/LAR agrees that the nurse, attendant or any other staff sent by E-VIDA to his/her home is for the exclusive purpose of rendering services to the PATIENT only and will not be asked to perform any other household functions or chores.