Date: 05 Nov 2025

1. Nature of Services
   • I understand that Reopine is a technology platform that connects me with independent, licensed doctors in India for medical opinion/teleconsultation.
   • I acknowledge that Reopine itself does not provide medical services, diagnosis, or treatment. All medical advice is given solely by the consulting doctor.
2. Teleconsultation Limitations
   • I understand that teleconsultation has inherent limitations compared to in-person consultation, including lack of physical examination and limited access to diagnostic tests.
   • I agree that the medical opinion provided may be limited by the information, history, and documents I provide.
3. Emergency Situations
   • I acknowledge that Reopine is not to be used in emergency or life-threatening situations.
   • In case of emergencies, I shall immediately contact local healthcare providers or emergency numbers (e.g., 108 in India / 911 in USA).
4. Cross-Border Consultations
   • I understand that all doctors on Reopine are licensed to practice in India only.
   • If I access the platform from outside India:
     • I agree that the consultation is deemed to have occurred in India under Indian law.
     • I accept full responsibility for compliance with my country’s local laws.
     • I waive any claim against Reopine in foreign jurisdictions.
   • The information provided during this consultation is for general health guidance and educational purposes only.
   • It is not a substitute for an in-person medical examination by a doctor licensed in your country.
   • The doctor may offer advice or general treatment options based on information you share, but you are strongly advised to:
     • Consult a locally licensed physician before starting or changing any medication or treatment.
   • The consultation is conducted based on good faith, relying on the accuracy and completeness of the information you provide.
5. Data Privacy
   • I consent to Reopine collecting, processing, and storing my personal and medical information in accordance with its Privacy Policy and applicable Indian data protection laws.
   • I understand that my health records may be shared with consulting doctors for the purpose of the consultation.
6. Payment, Refund & Liability
   • I understand that payments made are subject to Reopine’s Cancellation & Refund Policy.
   • I agree that Reopine’s liability, if any, shall be limited to the amount of service fees paid by me for the disputed consultation, and not exceeding INR 10,000 in any case.
   • I acknowledge that any malpractice or negligence claim lies against the individual doctor, not against Reopine.
7. Consent & Acknowledgment

   By proceeding, I confirm that:

   1. I have read and understood the Terms & Conditions and this Consent Form.
   2. I voluntarily consent to teleconsultation via Reopine.
   3. I release Reopine from liability for outcomes beyond its control, including medical opinions of independent doctors, third-party technology failures, or my own failure to follow medical advice.

Patient’s Full Name:

Signature: ____________________________

Date: 05 Nov 2025