Please read the following statements carefully and indicate your agreement by submitting the registration and consent form:

1. Informed Consent: I understand that Ally Heart provides healthcare services, including but not limited to medical consultations, counseling, and other support services. I consent to receive these services, understanding that my participation is voluntary and that I can withdraw my consent at any time.
2. Confidentiality: I understand that my personal and medical information will be kept confidential in accordance with applicable privacy laws. My information will only be shared with my explicit consent, except as required by law.
3. Emergency Situations: I understand that in the event of a medical emergency, Ally Heart may need to contact emergency services or my designated emergency contact.
4. Data Usage: I consent to the use of my anonymized data for research, analysis, and quality improvement purposes. I understand that my identity will not be revealed in any published material.
5. Acknowledgment of Risks: I understand that there may be risks associated with medical treatments and procedures, and I have the right to ask questions and receive information about any potential risks before proceeding.
6. Consent for Telemedicine Services: I acknowledge and consent to receiving healthcare services through telemedicine, which involves the use of electronic communications for medical consultations, diagnosis, and treatment. I understand the limitations of telemedicine and accept that it may not be a substitute for in-person consultation in certain cases.
7. Code of Conduct: I agree to treat Ally Heart staff and other clients with respect and dignity. I understand that Ally Heart is a safe space, and any form of discrimination, harassment, or violence will not be tolerated.
8. Age Requirement: If you are under 18 years of age, consent from a parent or guardian is required to access our services. By submitting this form, you confirm that you have provided accurate information about your age. If false information is provided, you will be held liable for any consequences arising from the use of our services.
9. Service Aggregator Disclaimer: Ally Heart acts solely as an aggregator of healthcare and other services and resources provided by third-party professionals and organizations. While we strive to connect you with trusted providers, Ally Heart does not assume responsibility for the quality, outcomes, or any issues arising from the services rendered by these third parties.
10. Terms and Conditions Modification: Ally Heart reserves the right to modify, amend, or update these terms and conditions at any time without prior notice. Continued use of our services following any changes constitutes your acceptance of the revised terms.