Healthcare Service and Informed Consent
Effective 15 September 2026. This notice records the healthcare-service consent connected with services facilitated through LAVAMOZU HEALTH by LAVAMOZU CONSULT (RC 9808460).
- Legal entity
- LAVAMOZU CONSULT
- Registration
- RC 9808460
- Trading name
- LAVAMOZU HEALTH
- Contact
- health@lavamozu.com.ng
1. Scope of My Consent
I consent to the healthcare service identified in this form and to reasonable professional steps necessary to provide that service. My consent does not automatically constitute consent to every future procedure, treatment, medication or intervention. Where a separate procedure or intervention requires specific consent, I understand that additional consent may be requested.
2. Medical History and Information
I agree to provide information that I reasonably believe is relevant to my care, including where applicable: Existing medical conditions Medications Allergies Previous procedures Relevant symptoms Pregnancy status where relevant Previous treatment Mental-health information where relevant Other information reasonably necessary for safe care I understand that withholding or providing inaccurate information may affect the safety or appropriateness of healthcare services.
3. Medication
Where medication is discussed, prescribed, dispensed or administered as part of a Service, I understand that: Medication should be used according to lawful professional instructions I should provide accurate information about allergies and existing medications I should not knowingly misuse medication Prescriptions may be required for certain medicines Medication availability may vary Medication-related Services may be subject to additional legal and regulatory requirements Where a Pharmacy Partner is involved, the Pharmacy Partner may have separate professional and legal obligations.
4. Telehealth / Remote Consultation
Where healthcare is provided remotely, I acknowledge that remote healthcare may have limitations, including: Inability to conduct a physical examination Limitations in assessing certain symptoms Technical failures Poor internet connectivity Audio or video interruptions Inaccurate information supplied remotely Inability to observe certain physical signs Circumstances where an in-person assessment becomes necessary I understand that the Healthcare Professional may recommend an in-person consultation, diagnostic assessment, emergency care or another form of treatment where clinically appropriate.
5. Emergency Care
I understand that LAVAMOZU HEALTH is not an emergency response service unless a particular service expressly states otherwise. I will not rely on the Platform where I believe that immediate emergency medical attention is required. In an emergency, I should seek immediate assistance from the appropriate emergency service or healthcare facility.
6. Healthcare Records
I understand that information relating to my healthcare service may be recorded and maintained as part of my healthcare record, including: Consultation notes Assessments Diagnoses Treatment plans Medication information Referrals Laboratory or diagnostic information Care notes Appointment information Other information necessary for healthcare management Healthcare records may be retained for periods required by applicable law, professional standards or legitimate operational requirements.
7. Sharing Information for My Care
I authorise the appropriate use and disclosure of relevant information where reasonably necessary to facilitate my requested healthcare service, subject to applicable law. This may include sharing relevant information with: My Healthcare Professional Other members of an authorised healthcare team An authorised Pharmacy Partner A laboratory or diagnostic provider A healthcare facility A referral provider An authorised caregiver An emergency contact where legally appropriate Another person or organisation authorised by me or permitted by law Information shared should be limited to what is reasonably necessary for the relevant purpose.
8. Confidentiality
I understand that my healthcare information should be treated confidentially and accessed only by persons who are authorised and have a legitimate reason to access it. I understand that confidentiality may be subject to exceptions established by law, professional obligations, court orders, public-health requirements, or circumstances where disclosure is necessary to protect a person from serious harm. The NMCN's professional code similarly recognises confidentiality of client information while identifying circumstances such as consultation with the healthcare team, court requirements and protection of the patient/public where disclosure may be justified.
9. Consent to Digital Communication
Where appropriate, I consent to receive healthcare-related communications through available digital channels, which may include: Email SMS Telephone In-platform messaging Video consultation Application notifications Other communication methods supported by LAVAMOZU HEALTH I understand that electronic communications may involve security and technical risks. I agree to take reasonable steps to protect my account, device and login credentials.
10. Data Protection Consent and Acknowledgement
I acknowledge that LAVAMOZU HEALTH may need to process personal information about me in order to provide or facilitate requested Services. This may include sensitive health information. I understand that the processing of my personal data is governed by the LAVAMOZU HEALTH Privacy Policy and applicable data-protection law. Where consent is relied upon as the lawful basis for a particular processing activity, I understand that my consent must be voluntary, informed and capable of being withdrawn, subject to applicable legal limitations. The NDPC recognises consent as an important lawful basis and states that data subjects may give, withhold or withdraw consent, while also recognising other lawful bases for processing.
11. Specific Health-Data Authorisation
Where applicable, I authorise LAVAMOZU HEALTH and authorised parties involved in my requested Service to process relevant health information for purposes including: ☐ Providing healthcare services ☐ Coordinating my healthcare ☐ Maintaining healthcare records ☐ Facilitating referrals ☐ Facilitating medication/pharmacy services ☐ Facilitating laboratory/diagnostic services ☐ Communicating with healthcare professionals ☐ Managing appointments ☐ Managing healthcare-related payments ☐ Other: _______________________________________________ I understand that information should not be used for unrelated purposes except where otherwise permitted or required by law.
12. Optional Disclosure to Family Member / Caregiver
I request/authorise the following person to receive relevant information about my healthcare where permitted by law: Name: ______________________________________________ Relationship: ________________________________________ Telephone/Email: ____________________________________ Scope of authorisation: ☐ Appointments ☐ General healthcare information ☐ Medication information ☐ Care instructions ☐ Other: _______________________________________________ This authorisation may be withdrawn subject to applicable law and record-keeping requirements.
13. Minors and Persons Who Require Representation
Where the Client is a minor or is legally unable to provide valid consent, consent should be obtained from the appropriate parent, guardian or legally authorised representative in accordance with applicable law. Name of Parent/Guardian/Representative: _________________________________ Relationship/Authority: _________________________________________________ Contact: _____________________________________________________________ Supporting documentation where required: _________________________________ The Healthcare Professional and/or LAVAMOZU HEALTH may require evidence of the representative's authority before granting access to information or approving particular Services.
14. Right to Ask Questions
I confirm that I have been given a reasonable opportunity to ask questions concerning the Service. I understand that I may request further information from the relevant Healthcare Professional before consenting to an intervention where clinically and practically appropriate.
15. Right to Refuse or Withdraw Consent
Subject to applicable law and circumstances in which another lawful basis permits action, I understand that I may: Refuse a proposed intervention Decline a Service Withdraw consent for future treatment Request clarification Ask for additional information Request that particular information-sharing permissions be withdrawn where legally possible Withdrawal of consent may not undo processing that was lawfully completed before withdrawal. Withdrawal may also affect the ability of LAVAMOZU HEALTH or a Healthcare Professional to continue providing a particular Service.
16. Acknowledgement of Risks and Limitations
I understand that healthcare services cannot guarantee a particular outcome. I acknowledge that: Medical conditions can change Symptoms may be difficult to assess remotely Professional opinions