Glow By Slim Genie
Telemedicine Informed Consent Form

Effective Date: April 8, 2026

Welcome to Glow By Slim Genie. Before proceeding with your order or consultation, please carefully read and acknowledge the following informed consent for our telemedicine-related services. This document ensures that you understand the nature of our services, associated risks, data handling practices, and the role of licensed healthcare professionals.

1. NATURE AND PURPOSE OF THE SERVICES

Glow By Slim Genie provides access to wellness solutions and facilitates telemedicine services by connecting you with licensed healthcare professionals. These services may include consultations and recommendations for treatments related to weight management, metabolic health, skin wellness, and other health and wellness needs.

Through our platform, licensed physicians may evaluate your medical information based on an online questionnaire or consultation to determine whether a treatment or product is appropriate for you.

The purpose of this service is to provide convenient, accessible, and professional healthcare support remotely, helping you make informed decisions about your wellness.

2. ACKNOWLEDGMENT OF RISKS AND SIDE EFFECTS

You understand that all treatments, supplements, and medications may carry potential risks and side effects.

These may include, but are not limited to:

• Allergic reactions

• Headaches or dizziness

• Nausea or digestive discomfort

• Interactions with other medications or conditions

Licensed healthcare professionals will assess your suitability based on the information you provide. However, outcomes may vary, and no guarantees are made regarding results.

You are encouraged to:

• Ask questions before starting any treatment

• Disclose all relevant medical history and medications

• Follow all instructions provided by the healthcare professional

By proceeding, you acknowledge that you understand these risks and agree to proceed voluntarily.

3. CONSENT FOR DATA COLLECTION AND PROCESSING

To provide our services, Glow By Slim Genie will collect and process your personal and medical information, which may include:

• Name and contact details

• Medical history and current health conditions

• Consultation responses and treatment preferences

Your data will be used for:

• Medical evaluation and consultation

• Product recommendations and order processing

• Customer support and service improvement

We comply with the Data Privacy Act of 2012 and implement appropriate safeguards to protect your information.

Your data may be shared only with:

• Licensed healthcare professionals

• Partner pharmacies or fulfillment providers (if applicable)

• Trusted third-party service providers

By agreeing, you consent to the collection, use, processing, and storage of your data as outlined in our Privacy Policy.

4. LICENSED PHYSICIAN EVALUATION

All medical consultations and prescription decisions are made by licensed physicians in the Philippines.

You acknowledge that:

• Physicians rely on the accuracy of the information you provide

• Providing false or incomplete information may result in unsafe or inappropriate treatment

• Prescriptions will only be issued if deemed medically appropriate

You agree to provide complete, accurate, and truthful information during your consultation.

ACKNOWLEDGMENT AND CONSENT

By proceeding, you confirm that:

• You have read and understood this Telemedicine Informed Consent Form

• You voluntarily consent to telemedicine services facilitated by Glow By Slim Genie

• You understand the potential risks and side effects

• You authorize the collection and processing of your personal and medical data

• You agree to provide accurate information and follow professional medical advice

DISCLAIMER

Glow By Slim Genie provides a platform for wellness services and may facilitate access to licensed healthcare professionals. Glow By Slim Genie is not a licensed medical clinic, pharmacy, or healthcare provider and does not replace direct medical care.

CONTACT INFORMATION

For any questions or concerns, you may contact:

Glow By Slim Genie
📧 Email: hello@glowbyslimgenie.com
📞 Phone: +63 960 340 7834