Patient Consent Agreement

Patient Consent Agreement

For ease of reference, any defined terms in this document have the same meaning as those set out in Youly’s Website Policies and Terms previously accepted by you. A further copy of Youly’s Website Policies and Terms can be found here.

If you have any questions about or you would like anything in Youly’s Website Policies and Terms explained to you, please do not proceed with completing this consent form and instead contact Youly at [email protected].

 

Prior to your consultation with a Doctor, you are required to acknowledge and agree with (and provide consent to, where applicable) the matters set out below.

 

Youly and Doctors engaged by Youly require your consent to collect, use and disclose your personal health information for any of those Doctors to provide you with safe and appropriate health care. That consent will be collected by Youly and the Doctors engaged by Youly, in your acceptance of Youly’s Website Policies and Terms and by providing your consent and agreement to the matters below. By clicking ‘Continue’, you confirm, that you acknowledge and agree that:

 

  1. You have read, understood and accepted Youly’s Website Policies and Terms;
  2. You consent to Youly and the Doctors engaged by Youly collecting, handling and using my personal information and personal health information for the purposes as set out in Youly’s Website Policies and Terms and this Patient Consent Form;
  3. You consent for Youly to disclose your personal information to the partnered pharmacy or to another external pharmacy to provide you with safe and appropriate health care.
  4. You consent to the potential forms of consultation with a Doctor as set out in Youly’s Website Policies and Terms;
  5. You consent to a Doctor contacting you via the encrypted chat service on the Website or via any other means as considered appropriate and necessary by the Doctor; and
  6. You acknowledge and agree that the Doctor (and not Youly) has total and full discretion and professional judgment in assessing your medical and health condition and determining any suitable course of action, and you consent to this treatment.
Brenda – 35
from $26.00 for 3 months
Dianne – 35
from $34.00 for 1 month
Eleanor
from $23.00 for 4 months
Estelle
from $23.00 for 3 months
Evelyn
from $23.00 for 4 months
Femme 100/20
from $23.00 for 4 months
Femme 150/30
from $23.00 for 4 months
Lenest 20ED (3)
from $23.00 for 3 months
Lenest 30ED (4)
from $20.00 for 3 months
Levlen
from $26.00 for 4 months
Loette
from $40.00 for 3 months
Logynon (b)
from $28.00 for 3 months
Madeline 150/30
from $18.00 for 1 month
Marvelon
from $18.00 for 1 month
Microgynon 20/100
from $55.00 for 3 months
Microgynon 30
from $35.00 for 4 months
Microgynon 50
from $23.00 for 4 months
Microlut
from $23.00 for 4 months
Micronelle 100/20
from $20.00 for 3 months
Micronelle 150/30
from $20.00 for 4 months
Monofeme
from $20.00 for 4 months
Nordette
from $30.00 for 4 months
Noriday 350mcg 4×28 Tab
from $23.00 for 4 months
Norimin
from $25.00 for 4 months
Petibelle
from $87.00 for 3 months
Primolut N
from $30.00 for 1 month
Qlaira
from $88.00 for 3 months
Seasonique
from $70.00 for 3 months
Slinda
from $79.00 for 3 months
Trifeme (a)
from $23.00 for 4 months
Triphasil 28 4×28 Tab
from $35.00 for 4 months
Triquilar (b)
from $33.00 for 4 months
Valette
from $84.00 for 3 months
Yasmin
from $80.00 for 3 months
Yaz
from $80.00 for 3 months
Zoeley
from $80.00 for 3 months