AUTHORIZATION FOR INVESTIGATIONS, PROCEDURE, TREATMENT AND PAYMENTS

I/We hereby authorize Quantum Care Cancer Center Pvt Ltd to collect and process information from me that may include, but is not limited to, my demographic details, contact information, health records, insurance coverage, financial information, and any other relevant information that I may have shared with Quantum Care Cancer Center Pvt Ltd prior to the date of this consent form for availing any services. I understand that Quantum Care Cancer Center Pvt Ltd may use the information mentioned above to provide me with services or for other necessary purposes, including but not limited to:

• Registration to receive services, maintenance of my unified health profile/records, identification, communication, information about new services and offers, taking feedback, help and complaint resolution, and other customer care–related activities or issues related to the use of my services.
• Creation and maintenance of electronic health records for use by Quantum Care Cancer Center Pvt Ltd, its partner organizations, and affiliated professionals to provide appropriate and relevant services.
• Providing personalized announcements/offers from Quantum Care Cancer Center Pvt Ltd or its affiliated entities.
• Customizing recommendations for suitable therapeutic, psychological, or other health-related services offered by Quantum Care Cancer Center Pvt Ltd and its affiliates.
• Research for the development and improvement of Quantum Care Cancer Center Pvt Ltd’s programs, treatment approaches, and service protocols.
• Disclosure as required to government authorities in compliance with applicable laws.
• Investigating and resolving any disputes or grievances.
• Any purpose(s) required under applicable law.

Disclosure and Transfer of Personal Information

For the purposes mentioned above, and to the extent permitted by applicable law, Quantum Care Cancer Center Pvt Ltd may share, disclose, and in some cases transfer any of the information referred to above to such entities as required for providing services to me or for compliance with applicable laws. I understand that these entities may include, but are not limited to, Quantum Care Cancer Center Pvt Ltd partner organizations, affiliated companies, mental-health professionals, diagnostic partners, third-party service providers, and governmental or law enforcement agencies.

I also consent to Quantum Care Cancer Center Pvt Ltd transferring my personal information to entities located outside India if required for service delivery or legal compliance.

In the event of a merger, reorganization, acquisition, joint venture, assignment, spin-off, transfer, asset sale, or disposition of all or any portion of the Quantum Care Cancer Center Pvt Ltd business—including in connection with bankruptcy or similar proceedings—Quantum Care Cancer Center Pvt Ltd may transfer any and all personal information to the relevant third party, with the same rights of access and use.

Retention of Personal Information

Quantum Care Cancer Center Pvt Ltd will retain any information collected from me for as long as necessary to provide services or as required by applicable law.

Quantum Care Cancer Center Pvt Ltd may retain certain information to prevent fraud, misuse, or for other legitimate purposes. Data may also be stored in de-identified form for research or statistical use.

My Rights

I understand that I have the right to access my personal information and may request updation, correction, or deletion of such information—except information processed in de-identified form, or information that Quantum Care Cancer Center Pvt Ltd is required to retain under law.

I understand that I am free not to share any personal, health, financial, or other sensitive information that I consider confidential. I also understand that I may withdraw my consent for Quantum Care Cancer Center Pvt Ltdv to use data I have already provided. However, I acknowledge that if I exercise these rights, Quantum Care Cancer Center Pvt Ltd may limit or deny the provision of services if such information is necessary for service delivery.

For any concerns, questions, or to exercise these rights, I may contact the designated grievance officer at [insert Quantum Care Cancer Center Pvt Ltd grievance email/contact].

Use of My Samples (If Applicable)

Any biological or diagnostic samples (such as blood or tissue) collected from me for testing purposes may be used by research professionals associated with Quantum Care Cancer Center Pvt Ltd for advancing medical or psychological understanding to benefit public health, only if leftover samples remain after their intended clinical use. Similarly, treatment-related data may be shared with researchers in a de-identified manner.

I understand that such research does not provide me with financial benefit but may contribute to improved treatment outcomes for future patients. I may choose to disallow the research use of my samples and data.

I also agree to receive SMS/WhatsApp alerts and calls related to my healthcare services.

I/We sign this document of our own free will after fully understanding its contents and the explanations provided to me/us by Quantum Care Cancer Center Pvt Ltd and its authorized professionals.