Consent & agreement
Please review and confirm the required consent items before continuing.
Consultancy Service Agreement and Patient Consent
Cuba Health Assist provides international healthcare consultancy, case coordination and administrative support services for patients seeking medical evaluation through independent healthcare institutions and licensed medical professionals.
1. Scope of Service
Our role is limited to receiving the patient’s request, organizing submitted information, coordinating preliminary review with relevant institutions where applicable, supporting communication, assisting with documentation, and guiding the patient through administrative steps connected to the requested medical coordination process.
2. Medical Independence
Cuba Health Assist is not a hospital, clinic, laboratory, pharmacy or treating physician. All medical opinions, eligibility decisions, treatment recommendations, treatment plans, prescriptions and clinical outcomes are determined exclusively by independent doctors, hospitals or authorized healthcare institutions. No diagnosis, treatment acceptance, recovery, cure or medical result is guaranteed by Cuba Health Assist.
3. Patient Information and Documents
The applicant confirms that all personal, medical and contact information submitted through this form is accurate, complete and truthful to the best of their knowledge. Incomplete, incorrect or outdated information may delay evaluation or affect the ability of healthcare institutions to review the case.
4. Consent to Share Medical Records
The applicant authorizes Cuba Health Assist to securely receive, organize, translate when required, and share relevant medical documents with authorized hospitals, independent physicians, laboratories, interpreters, coordinators, logistics providers or administrative staff strictly for the purpose of case evaluation and service coordination.
5. Payments, Invoices and Administrative Fees
Any application fee, consultancy fee, hospital invoice, travel-related expense or third-party cost will be communicated separately. Payments do not guarantee medical acceptance or treatment outcome. Bank transfer references, case numbers and payment instructions must be followed carefully to avoid delays in processing.
6. Data Protection and Communication
Cuba Health Assist uses reasonable administrative and technical safeguards to protect personal and medical data. The applicant agrees to be contacted by email, phone, WhatsApp or patient portal notifications regarding case status, missing documents, payment instructions, appointment coordination and follow-up requirements.
7. Limitation of Responsibility
Cuba Health Assist is responsible only for the consultancy and coordination services it directly provides. Medical acts, clinical decisions, hospital services, travel disruptions, visa decisions, government requirements, third-party delays or force majeure events remain outside our direct control.
8. Digital Acceptance
By checking the confirmation boxes and typing their full legal name below, the applicant acknowledges that they have read, understood and accepted this consultancy service agreement, patient consent and data processing authorization.
Type your full legal name to sign.
