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Informed Patient Consent and Authorization

  Informed Patient Consent and Authorization Informed Patient Consent and Authorization form for sharing of deidentified case report I give my consent and authorization for this information about MY SELF/MY WARD/MY RELATIVE (indicate correct description) relating to my/his/her health to appear in an online E-log case record (case report) that will exist in social media such as whatsapp and facebook. I understanding the following: 1) Health professionals need to communicate about my problem with each other and share my detailed history as well as images of my body in clinical photographs, images of Radiology and other test reports. In the past this was routinely done using paper based files and in the electronic age as it is faster to communicate using electronic devices connected online, this is how my history and images will be shared, as an E log case report (other than the paper based file system that may still continue). 2) My information will be published online by my health-p...