Official Governance Document • Govt. of India Aligned

Online Consultation Consent Form

Governing consultations, services, and products offered by ANUKUL LIFE HARMONY SOLUTIONS PRIVATE LIMITED (operating ANUKUL Ayur Vastu Harmony Clinic).

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Last Revision October 16, 2026
Clinical Charter
• Version 1.0 (AYUSH & Digital Health Compliant)

ANUKUL HEALTH AND VASTU HARMONY CLINIC

Director / Consultant: Dr. Nishigandha Chaudhari (12+ Years Experience)

Website: https://anukulayurvastu.in

Consultation Services: Ayurveda Health Consultation • Residential & Commercial Vastu Examination • Astro Nadi Examination

Please read this form carefully before submitting your details and proceeding to payment.

1. Client / Patient Details

Before proceeding with an online consultation, clients are required to furnish accurate baseline demographic and clinical coordinates, including:

  • Full Legal Name: As per official identification records.
  • Age / Date of Birth: For doshic and physiological lifecycle evaluation.
  • Mobile Number: WhatsApp-enabled for secure encrypted link dispatch and clinical alerts.
  • Email Address: For delivery of calendar invites and preparation dossiers.
  • City and State: For regional climate, seasonal dinacharya, and jurisdictional alignment.
  • Consultation Service Selected: Selected modality (Ayurveda Health, Medico-Vastu, Astro-Construction, or Master Consultation).
  • Preferred Consultation Date & Time Slot: Auspicious muhurta reservation.
  • Property Address (If Vastu): Required for geographical orientation, compass gridding, and directional evaluation.
  • Parent / Guardian Name: Applicable if booking on behalf of a minor or an assisted patient.

2. Consent for Online Consultation

I voluntarily request an online consultation from ANUKUL Health and Vastu Harmony Clinic and consent to communicate through the available consultation platform, telephone, video call, email or other agreed digital method.

I understand that I must provide accurate information relevant to my selected service. I may ask questions about the consultation process, fees, limitations and recommendations before proceeding.

I understand that online consultation may have limitations because the consultant may not be able to conduct a physical examination, directly inspect a property, or independently verify every detail I submit.

3. Ayurveda Health Consultation — Patient Declaration

If I select Ayurveda Health Consultation, I understand and agree that:

  1. I will provide accurate information about my symptoms, medical history, existing diagnoses, allergies, medicines, supplements, pregnancy status where relevant, and previous investigations.
  2. The consultation may include discussion of my health history, diet, lifestyle, sleep, digestion, Prakriti Parikshan and other relevant traditional Ayurveda assessment methods, as appropriate to the service.
  3. Any assessment or recommendations will depend on the information available and the practitioner’s professional scope.
  4. An online consultation may not be sufficient to assess every health condition. I may be advised to obtain an in-person examination, laboratory investigation, specialist opinion or emergency care.
  5. I will not discontinue prescribed medicines or delay necessary medical treatment on the basis of an online consultation.
  6. I understand that no guarantee of cure, recovery time or specific health outcome is being offered.

emergency Emergency Medical Disclaimer

This service is not an emergency medical service. For severe chest pain, difficulty breathing, stroke symptoms, sudden collapse, acute hemorrhage or another life-threatening emergency, I will seek immediate emergency medical assistance at the nearest hospital or healthcare facility.

4. Residential and Commercial Vastu Consultation

If I select Vastu Examination, I understand and agree that:

  1. I will provide the floor plan, property measurements, direction/orientation details, photographs and other information reasonably required for the assessment.
  2. I confirm that I am authorized to share the submitted property information and images.
  3. The analysis may include directional assessment, Vastu gridding, Vastu Purusha Mandala, room usage, layout observations and traditional Vastu interpretations.
  4. Recommendations are advisory. They do not guarantee health, relationship, career, business or financial outcomes.
  5. Any structural alteration, electrical work, plumbing work or renovation must be assessed by an appropriately qualified professional (architect, civil engineer, or licensed contractor).
  6. I am free to accept, modify or decline recommendations. I am not required to purchase products, perform rituals or undertake expensive remedies.

5. Astro Nadi, Kundali and Numerology Consultation

If I select an astrology, Astro Nadi or numerology service, I understand and agree that:

  1. I may be asked to provide my date of birth, birth time, birthplace, name or other information relevant to the selected service.
  2. I understand that interpretations depend on the information supplied and the traditional method used.
  3. These interpretations are offered as traditional, cultural or spiritual guidance and are not scientifically established methods for diagnosing disease or guaranteeing future events.
  4. Astrology and numerology do not replace medical, psychological, legal, financial or other professional advice.
  5. No guaranteed prediction regarding illness, fertility, marriage, death, business success or financial gain is promised.

6. Consent to Submit Information and Process Personal Data

I understand that the clinic will use the information I submit for purposes relevant to my requested service, which may include:

  • Identifying me and managing my consultation request.
  • Reviewing the information required for my selected service.
  • Scheduling and conducting the consultation.
  • Preparing and delivering my report or recommendations.
  • Processing payment, issuing receipts and handling support or complaints.
  • Meeting applicable legal, professional and recordkeeping obligations.

I understand that information should be limited to what is reasonably necessary for the selected service. I may contact the clinic to ask about access, correction, withdrawal of consent where applicable, retention or deletion of my information, subject to applicable law and legitimate recordkeeping requirements.

My information will not be used for unrelated marketing without the separate permission required by applicable law. I understand that digital communications and online platforms may involve security risks despite reasonable safeguards.

Privacy Contact: contact@anukulayurvastu.in • Phone / WhatsApp: +91 7624012501 • 91 63560 19951

7. Photographs, Reports and Recordings

I understand that property photographs, floor plans, health documents and other files I upload may be reviewed for my consultation.

Audio/video recording of a consultation, use of my photographs for promotional purposes, publication of my case study, or sharing identifiable details publicly requires separate consent where applicable. I can decline promotional use without affecting my eligibility for the consultation.

I will not be asked to provide unnecessary sensitive information or unrelated photographs.

8. Fees, Payment and Booking

I understand that:

  • The consultation fee and the specific service included will be displayed before payment.
  • Payment confirms the booking or service request according to the stated booking terms.
  • Any additional service, follow-up consultation, report, visit or other charge must be disclosed before I agree to it.
  • I should retain my payment confirmation or receipt.
  • Payment does not guarantee a particular medical, Vastu, astrological or financial outcome.

Cancellation, Rescheduling and Refund Policy: Handled according to our disclosed policy (complimentary rescheduling or cancellation up to 24 hours prior to appointment time). Refer to our Cancellation & Refund Policy. Nothing in this consent removes any legal right I may have.

9. Client Declaration

I declare that:

  • The information I have provided is accurate to the best of my knowledge.
  • I have read and understood the scope and limitations of the selected service.
  • I have had the opportunity to ask questions before payment.
  • I understand that I may decline optional traditional or spiritual recommendations.
  • I understand that this consent is not a waiver of my legal rights.
  • If I am submitting information for another person, I have the authority to do so and will obtain any required consent.

10. Consent Confirmation

By selecting the relevant consent boxes during the consultation booking process and submitting the booking form, I confirm that I have read and understood the applicable declarations and voluntarily consent to the selected service.

Digital Consent Record: System-generated timestamp and consent version recorded at time of booking.

Consulting Clinic: ANUKUL Health and Vastu Harmony Clinic

Director: Dr. Nishigandha Chaudhari • 12+ Years Experience in Ayurveda and Vastu Consulting

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