Quick Message BEFORE SUBMITTING

Informed Consent for Submission of Personal Information and Photos

By submitting this form, I, the undersigned, hereby consent to the collection, use, and processing of my personal information and photos by MEDtour Colombia for the purposes of evaluating my suitability for medical procedures and surgeries, planning my medical journey, and providing tailored medical advice and services. The information and photos I provide include, but are not limited to, the following details:

Full name
City and Country
Email
Tentative Travel Date to Colombia
Age
Height
Weight
Information regarding children
Allergies to medication
Illnesses or diseases
Medications or supplements
Anemia status
Notable medical conditions
HIV/AIDS status and treatment
Previous surgical procedures (with dates)
Procedures of interest

I understand that this information is necessary for MEDtour Colombia to assess my medical needs and provide appropriate recommendations and services related to the procedures and surgeries I am interested in. I acknowledge that my personal information and photos will be kept confidential and will only be shared with the medical professionals involved in my evaluation and treatment.

I also understand that by submitting this information, I am not obligated to undergo any procedures or surgeries.

By checking the box and submitting this form, I confirm that I have read and understood the above consent text, and I agree to the collection, use, and processing of my personal information and photos as described.

I consent to the collection, use, and processing of my personal information and photos by MEDtour Colombia.