Do you have any contact with positive Covid-19 patients?
Have you travelled overseas in the past 14 days?
The personal data so obtained from the patient is further process it or disclose the third parties as required or
permitted by law. Pursuant to section 7 of Personal Data Protection Act (PDPA) 2010, a copy of the written
notice which includes the purpose for which the Patient’s personal data and sensitive personal data is
collected/processed and classes of third-party to whom THKD will/may disclose the Patient’s personal data to
is available upon request, or please log onto our website at www.thomsonhospitals.com to view it online.
I/we hereby give consent to THKD To collect or process the Patient’s personal data and sensitive data
(including health information and religious beliefs) in accordance with the written notice. I hereby undertake
that the information provided here is true and correct.
I Acknowledge, Agree and Consent to these terms