Baseline Consultation eConsent Form

I confirm that the information I provided is accurate to the best of my knowledge.

I consent for Baseline to review my health information for consultation purposes.

I understand that Baseline is not an emergency service.

I understand that online consultation has limitations.

I understand that I may be referred for further assessment when required. 

I understand that AI assisted insights do not replace clinical judgement.

I understand that Baseline does not guarantee a diagnosis, cure, or specific health outcome.

I agree to proceed with the Baseline consultation.

Yes, I agree to receive health education, updates, and promotional messages from Baseline. I understand I can opt out anytime.

No, I only want messages related to my consultation and service.