A- You are welcome to the International Modern Hospital, Dubai. Please be advised that in accordance with the international standards you are required to accept responsibility of payment of services provided to you by the Hospital.

B- Please read and sign this consent form as an indication that you understand and agree on the terms and conditions mentioned below.

A- I am seeking for medical treatment at International Modern Hospital, and I agree to accept services which may diagnose my medical condition, procedures to treat my condition, routine dental and medical care including lab and radiology investigations.

B- I understand that these services will be provided to me by qualified doctors, nurses and other healthcare providers. I have not been given any guarantees as to results of services that I will receive. I understand that my consent to accept these services will remain in effect unless I signed a document stating that I do not want these services or until my treatment is completed.

C- Separate informed consent will be obtained for special test or other procedures such as surgeries, blood transfusion, anesthesia etc.

D- I understand that the hospital is not responsible for my personal belongings unless it is properly kept temporary with the designated IMH staff.

A- Within the expected time frame during their hospital visit or stay, patients are required to bear personal responsibility and pay all financial obligations entitled to International Modern Hospital regardless to the mode and source of payment (i.e. self-paying, insurance company, sponsoring company or otherwise).

B- In cases where an estimated charges has been given, the deposited amount will be utilized against the accrued charges or a proportion of the same. Kindly note that the estimated charges may differ from the final account depending on the actual services rendered. Patients/attendants are responsible for settlement of differential costs.

C- Incases whereby settlement of treatment cost has not been approved by an insurance agreement, sponsorship or third party, the patient/attendant is required to take full responsibility for settlement of accounts.