{
    "id": 554,
    "date": "2026-09-23T11:25:07",
    "date_gmt": "2026-09-23T11:25:07",
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        "rendered": "https:\/\/novacare-access.com\/patient-consent\/"
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    "modified": "2026-11-02T17:24:57",
    "modified_gmt": "2026-11-02T17:24:57",
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    "title": {
        "rendered": "Patient Consent & Data Use Approval"
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    "content": {
        "rendered": "<div data-elementor-type=\"wp-page\" data-elementor-id=\"554\" class=\"elementor elementor-554\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-941d222 e-flex e-con-boxed e-con e-parent\" data-id=\"941d222\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6cfa281 e-con-full e-flex e-con e-child\" data-id=\"6cfa281\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0f2fa1c elementor-widget elementor-widget-heading\" data-id=\"0f2fa1c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Patient<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9253d3e elementor-widget elementor-widget-heading\" data-id=\"9253d3e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Consent<\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a5cabb9 elementor-widget__width-initial elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"a5cabb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9bec839 e-flex e-con-boxed e-con e-parent\" data-id=\"9bec839\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-22030ef e-con-full e-flex e-con e-child\" data-id=\"22030ef\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-33408dd e-con-full e-flex e-con e-child\" data-id=\"33408dd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b243332 elementor-widget elementor-widget-heading\" data-id=\"b243332\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Patient Consent &amp; Data Use Approval<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-551b0d6 elementor-widget elementor-widget-heading\" data-id=\"551b0d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Patient Consent<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2e717fa e-con-full e-flex e-con e-child\" data-id=\"2e717fa\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-917c692 elementor-widget elementor-widget-text-editor\" data-id=\"917c692\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>By submitting this form, I confirm that the information I provide is accurate to the best of my knowledge, and I consent to Novacare Access collecting and using my personal and healthcare-related information for the purpose of responding to my inquiry and helping coordinate my healthcare journey.<\/p><p>I understand that Novacare Access may share relevant information with selected healthcare providers, clinics, hospitals, and healthcare professionals when necessary to identify suitable care options, obtain medical opinions, arrange consultations, or coordinate my requested healthcare services.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b80e0b9 e-flex e-con-boxed e-con e-parent\" data-id=\"b80e0b9\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-56861d2 elementor-widget elementor-widget-heading\" data-id=\"56861d2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">I understand that:<\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-65ba514 e-con-full e-flex e-con e-child\" data-id=\"65ba514\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-63c0b60 e-con-full e-flex e-con e-child\" data-id=\"63c0b60\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-73e4976 e-con-full e-flex e-con e-child\" data-id=\"73e4976\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d4e84c9 elementor-widget elementor-widget-heading\" data-id=\"d4e84c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">01<\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-85880c7 e-con-full e-flex e-con e-child\" data-id=\"85880c7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31cad1e elementor-widget elementor-widget-text-editor\" data-id=\"31cad1e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>My information will be used only for purposes related to my healthcare inquiry and coordination of services.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9e07868 e-con-full e-flex e-con e-child\" data-id=\"9e07868\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-ed66c27 e-con-full e-flex e-con e-child\" data-id=\"ed66c27\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1d78af3 elementor-widget elementor-widget-heading\" data-id=\"1d78af3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">02<\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c536606 e-con-full e-flex e-con e-child\" data-id=\"c536606\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-779dde5 elementor-widget elementor-widget-text-editor\" data-id=\"779dde5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>My medical information may be shared with relevant healthcare providers when necessary to support my request.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c938e80 e-con-full e-flex e-con e-child\" data-id=\"c938e80\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-d63c3c9 e-con-full e-flex e-con e-child\" data-id=\"d63c3c9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-325bb9a elementor-widget elementor-widget-heading\" data-id=\"325bb9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">03<\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ee8ac01 e-con-full e-flex e-con e-child\" data-id=\"ee8ac01\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-75f122a elementor-widget elementor-widget-text-editor\" data-id=\"75f122a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Healthcare providers are independently responsible for the diagnosis, treatment, medical advice, prescriptions, and clinical care they provide.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-148987c e-con-full e-flex e-con e-child\" data-id=\"148987c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-187a00c e-con-full e-flex e-con e-child\" data-id=\"187a00c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e1d9ccf elementor-widget elementor-widget-heading\" data-id=\"e1d9ccf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">04<\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c68c977 e-con-full e-flex e-con e-child\" data-id=\"c68c977\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bab6ce0 elementor-widget elementor-widget-text-editor\" data-id=\"bab6ce0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>I may choose not to provide optional information; however, this may limit Novacare Access&#8217;s ability to assist with my request.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-854beea e-con-full e-flex e-con e-child\" data-id=\"854beea\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-8bbd2a1 e-con-full e-flex e-con e-child\" data-id=\"8bbd2a1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-86a5f6d elementor-widget elementor-widget-heading\" data-id=\"86a5f6d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">05<\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-dfb6829 e-con-full e-flex e-con e-child\" data-id=\"dfb6829\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7b59e43 elementor-widget elementor-widget-text-editor\" data-id=\"7b59e43\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>I can contact Novacare Access regarding my personal information or withdraw my consent, subject to applicable legal and regulatory requirements and any services already provided.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4189fad e-flex e-con-boxed e-con e-parent\" data-id=\"4189fad\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-2681f35 e-con-full e-flex e-con e-child\" data-id=\"2681f35\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-cce1ada e-con-full e-flex e-con e-child\" data-id=\"cce1ada\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3f210d3 elementor-widget elementor-widget-heading\" data-id=\"3f210d3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">01<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37533ec elementor-widget elementor-widget-heading\" data-id=\"37533ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Required Consent<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6bf3dee elementor-widget elementor-widget-text-editor\" data-id=\"6bf3dee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>I have read and agree to the Patient Consent &amp; Data Use Approval above, and I authorize Novacare Access to use and share my information as described for the purpose of providing healthcare access and journey coordination services.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fadfdbc e-con-full e-flex e-con e-child\" data-id=\"fadfdbc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c8df041 elementor-widget elementor-widget-heading\" data-id=\"c8df041\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">02<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3d7f05 elementor-widget elementor-widget-heading\" data-id=\"d3d7f05\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Optional Marketing Consent<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cabd47 elementor-widget elementor-widget-text-editor\" data-id=\"1cabd47\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>I agree to receive relevant healthcare updates, offers, and information from Novacare Access by WhatsApp, SMS, email, or other communication channels. I understand that I can withdraw this consent at any time.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-55c848e e-con-full e-flex e-con e-child\" data-id=\"55c848e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9f60bca elementor-widget elementor-widget-heading\" data-id=\"9f60bca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\">03<\/span>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84326f0 elementor-widget elementor-widget-heading\" data-id=\"84326f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Medical Documents<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7319cd4 elementor-widget elementor-widget-text-editor\" data-id=\"7319cd4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>I authorize Novacare Access to share the medical documents and information I provide with relevant healthcare providers for the purpose of reviewing my case and coordinating my requested healthcare services.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-97d5122 e-flex e-con-boxed e-con e-parent\" data-id=\"97d5122\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>",
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