WhatsApp Consent

📋 Consent Required
The Jamaica Data Protection Act 2020 and Regulations 2024 (the "JDPA") requires your consent to communicate via WhatsApp.

Data Controller: Downtown Medical Centre | Contact: 876-967-3443 | buellimited@dmedwell.com

📋 New or existing patient?

New patients: This quick form lets you message us about appointments. You'll sign our Healthcare Privacy Notice at your first visit.

Existing patients: If you received our Healthcare Privacy Notice link, complete that first, then return here. Questions? Call 876-967-3443.

✅ We'll send via WhatsApp:

Appointment confirmations
Appointment reminders
Practice updates
General health tips

🚫 We won't send health:

Diagnoses
Test results
Treatment plans
Prescriptions

🔒 Data Processing Disclosure
Encrypted: Message content is end-to-end encrypted.
International Transfer: WhatsApp (Meta Platforms, Inc., USA) processes metadata including your phone number, timestamps, device info, and IP address under their privacy framework. View WhatsApp Privacy
Opt-out anytime: Reply "STOP" | Call 876-967-3443 | Email buellimited@dmedwell.com
Your rights: Full JDPA rights (access, rectification, etc.) detailed in Healthcare Privacy Notice
Retention: 7 years or until you withdraw consent

Full Name *

Date of Birth *

📅 If under 18, parent/guardian consent is required

⚠️ Invalid date - please check

👨‍👩‍👧 Guardian Consent Required
Since the patient is under 18, a parent or legal guardian must provide consent under JDPA regulations.

Parent/Guardian Information

Guardian Full Name *

Parent or legal guardian who has authority to consent

Relationship to Patient *

Guardian Phone Number *

Guardian Email (Optional)

📧 Consent confirmation will be sent to this email if provided

WhatsApp Phone Number *

📱 Patient's WhatsApp number for appointment reminders

Email (Optional)

📧 If provided, we'll email you a copy of this consent for your records

I am: *

I consent to non-confidential communication from Downtown Medical Centre via WhatsApp (appointments, reminders, general practice info) and understand that WhatsApp/Meta Platforms, Inc. processes my metadata (phone number, timestamps, device info, IP address) in the United States *

I understand sensitive health information will NOT be sent via WhatsApp and will be handled according to the Healthcare Privacy Notice. I can withdraw this consent anytime and understand my full rights under the JDPA *

Digital Signature *

By typing your name, you provide a legally binding signature.

⚠️ Signature must match the name entered above

📧 If you provided an email, you'll receive a confirmation copy within seconds

✅ We'll send via WhatsApp:

🚫 We won't send health:

Parent/Guardian Information

✅ You're All Set!

⚠️ Error