I, hereby declare that I am voluntarily sharing my identity information with the DRiefcase for the sole purpose of creating a Ayushman Bharat Health Account (ABHA Address). I understand my ABHA Address can be used in any healthcare interaction across India. I consciously choose the option of KYC (Name, Address, Age, Date of Birth, Gender and Photograph) through Govt. of India (GOI) issued identity proof document. I understand that my personal identifiable information, relevant to this transaction, will be stored by DRiefcase solely for the purpose of Ayushman Bharat Health Account (ABHA Address) which, in turn, can be used in any health care interaction across India.
I am aware that my personal identifiable information (Name, Address, Age, Date of Birth, Gender and Photograph) may be made available to the entities working in the National Digital Health Mission (NDHM) framework for enabling the healthcare services to me across India. I reserve the right to revoke the given consent at any time from the DRiefcase at my own discretion.
User Information Agreement
I am voluntarily sharing my Aadhaar Number / Virtual ID issued by the Unique Identification Authority of India (“UIDAI”), and my demographic information for the purpose of creating an Ayushman Bharat Health Account number (“ABHA number”) and Ayushman Bharat Health Account address (“ABHA Address”). I authorize NHA to use my Aadhaar number / Virtual ID for performing Aadhaar based authentication with UIDAI as per the provisions of the Aadhaar (Targeted Delivery of Financial and other Subsidies, Benefits and Services) Act, 2016 for the aforesaid purpose. I understand that UIDAI will share my e-KYC details, or response of “Yes” with NHA upon successful authentication.
I consent to usage of my ABHA address and ABHA number for linking of my legacy (past) health records and those which will be generated during this encounter.
I authorize the sharing of all my health records with healthcare provider(s) for the purpose of providing healthcare services to me during this encounter.
I consent to the anonymization and subsequent use of my health records for public health purposes.