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Dr. Sinukumar Bhaskaran is a distinguished hip& Knee Arthroplasty Surgeon with over 27 years of medical experience and more than 20 years in orthopedic surgery. Heis a consultant at Manipal Hospital, Kharadi, Pune, specializing in hip and knee replacement surgeries, including robotic, computer-navigated, and unicompartmental procedures. Throughout his career, he has successfully performed over 4,000 joint replacement surgeries, making him a leading expert in the field.
Dr. Bhaskaran has received advanced fellowship training in Germany, focusing on complex primary and revision knee replacements at Endoklinik, Hamburg, under the mentorship of Dr. Wolfgang Klauser & Prof. Dr. Thorsten Gehrke. He also completed a fellowship in minimally invasive joint replacement surgery in Germany. His foundational training in orthopedics was under Padmashree Dr. KH Sancheti, one of India’s leading orthopedic surgeons. Additionally, he has served as a surgical lecturer at Deenanath Mangeshkar Hospital, where he mentored upcoming orthopedic surgeons in joint replacement and reconstruction techniques.
Dr. Bhaskaran's contributions to orthopedic research have earned him several prestigious awards, including the Best Paper Award at the Indian Society of Hip & Knee Surgeons Conference ( New Delhi) and MOACON ( Nashik). His research on total knee arthroplasty and complex knee surgeries has been published in leading journals such as the International Journal of Case Reports in Orthopedics and the Journal of Trauma & Orthopedics. He has also co-authored a chapter in the Maharashtra Orthopedic Yearly Journal , further demonstrating his commitment to advancing orthopedic knowledge.
Beyond his clinical expertise, Dr. Bhaskaran is a Founder Member of the Personalized Alignment Club and played a pivotal role in organizing the first Personalized Alignment Meeting in Pune (August. His specialization in alternative alignment techniques like kinematic and functional alignment has significantly improved surgical outcomes in joint replacement patients. With his dedication to cutting-edge advancements and patient-focused care, Dr. Bhaskaran remains a leading figure in hip and knee arthroplasty in India.
- Joint Replacement
- Joint Preservation
- Fractures around hip
- Complex trauma
- Foot and ankle injuries
- Pelvic trauma
- Deformity correction
- Tendon injuries
- Carpal tunnel syndrome
- Non-Union of bones
- Arthrodesis or joint fusion
- Ilizarov’s fixator
- Limb lengthening
- Osteoporosis
- Intra-articular injections
- Osteomyelitis or bone and joint infections
- English
- Hindi
- Malayalam
- Marathi
- Won the best paper award at the 3rd Annual conference of the Indian Society of Hip and Knee Surgeons, 2009 New Delhi for the paper- "Single stage bilateral total knee arthroplasty - a prospective review of immediate outcome in 416 patients".
- Paper presented at WIROC Mumbai,2009 - "Single stage sequential bilateral total knee arthroplasty in patients above 75 years - a review of 134 cases".
- Awarded the best paper at MOACON 2010, Nashik for presentation on - Sequence & results of medial release in 1994 cases of varus knees undergoing TKA.
- Co-authored the chapter "Current Trends in Total Knee Arthroplasty" in Maharashtra Orthopaedic Yearly Journal 2009.
- Case report of "Single stage bilateral total knee arthroplasty in a patient with G6PD deficiency" published as the original article in Journal of Trauma & Orthopaedics ( Volume 10 Issue 1 Jan –March 2015).
- Distal Femur Replacement in a Case of Nonunion Supracondylar Femur Fracture - International Journal of Case Reports (accepted 15 - 7 - 21)
- Dr. Sinukumar Bhaskaran on 5 important things to know before undergoing total knee replacement surgery in The Indian Express | Exclusive Story. Click Here
- Dr. Sinukumar Bhaskaran on Do you experience knee pain while running? Experts explain why India Times (Online) | Exclusive article. Click Here
- FW: Coverage Update | MH Kharadi | Osteoporosis Day. Click Here
- Manipal Hospital kharadi | Article - Bone Strength. Click Here
Overview
Field of Expertise
Languages Spoken
Awards & Achievements
Talks & Publications
- English
- Hindi
- Malayalam
- Marathi
Dr. Sinukumar Bhaskaran is a distinguished hip& Knee Arthroplasty Surgeon with over 27 years of medical experience and more than 20 years in orthopedic surgery. Heis a consultant at Manipal Hospital, Kharadi, Pune, specializing in hip and knee replacement surgeries, including robotic, computer-navigated, and unicompartmental procedures. Throughout his career, he has successfully performed over 4,000 joint replacement surgeries, making him a leading expert in the field.
Dr. Bhaskaran has received advanced fellowship training in Germany, focusing on complex primary and revision knee replacements at Endoklinik, Hamburg, under the mentorship of Dr. Wolfgang Klauser & Prof. Dr. Thorsten Gehrke. He also completed a fellowship in minimally invasive joint replacement surgery in Germany. His foundational training in orthopedics was under Padmashree Dr. KH Sancheti, one of India’s leading orthopedic surgeons. Additionally, he has served as a surgical lecturer at Deenanath Mangeshkar Hospital, where he mentored upcoming orthopedic surgeons in joint replacement and reconstruction techniques.
Dr. Bhaskaran's contributions to orthopedic research have earned him several prestigious awards, including the Best Paper Award at the Indian Society of Hip & Knee Surgeons Conference ( New Delhi) and MOACON ( Nashik). His research on total knee arthroplasty and complex knee surgeries has been published in leading journals such as the International Journal of Case Reports in Orthopedics and the Journal of Trauma & Orthopedics. He has also co-authored a chapter in the Maharashtra Orthopedic Yearly Journal , further demonstrating his commitment to advancing orthopedic knowledge.
Beyond his clinical expertise, Dr. Bhaskaran is a Founder Member of the Personalized Alignment Club and played a pivotal role in organizing the first Personalized Alignment Meeting in Pune (August. His specialization in alternative alignment techniques like kinematic and functional alignment has significantly improved surgical outcomes in joint replacement patients. With his dedication to cutting-edge advancements and patient-focused care, Dr. Bhaskaran remains a leading figure in hip and knee arthroplasty in India.
- Joint Replacement
- Joint Preservation
- Fractures around hip
- Complex trauma
- Foot and ankle injuries
- Pelvic trauma
- Deformity correction
- Tendon injuries
- Carpal tunnel syndrome
- Non-Union of bones
- Arthrodesis or joint fusion
- Ilizarov’s fixator
- Limb lengthening
- Osteoporosis
- Intra-articular injections
- Osteomyelitis or bone and joint infections
- Won the best paper award at the 3rd Annual conference of the Indian Society of Hip and Knee Surgeons, 2009 New Delhi for the paper- "Single stage bilateral total knee arthroplasty - a prospective review of immediate outcome in 416 patients".
- Paper presented at WIROC Mumbai,2009 - "Single stage sequential bilateral total knee arthroplasty in patients above 75 years - a review of 134 cases".
- Awarded the best paper at MOACON 2010, Nashik for presentation on - Sequence & results of medial release in 1994 cases of varus knees undergoing TKA.
- Co-authored the chapter "Current Trends in Total Knee Arthroplasty" in Maharashtra Orthopaedic Yearly Journal 2009.
- Case report of "Single stage bilateral total knee arthroplasty in a patient with G6PD deficiency" published as the original article in Journal of Trauma & Orthopaedics ( Volume 10 Issue 1 Jan –March 2015).
- Distal Femur Replacement in a Case of Nonunion Supracondylar Femur Fracture - International Journal of Case Reports (accepted 15 - 7 - 21)
- Dr. Sinukumar Bhaskaran on 5 important things to know before undergoing total knee replacement surgery in The Indian Express | Exclusive Story. Click Here
- Dr. Sinukumar Bhaskaran on Do you experience knee pain while running? Experts explain why India Times (Online) | Exclusive article. Click Here
- FW: Coverage Update | MH Kharadi | Osteoporosis Day. Click Here
- Manipal Hospital kharadi | Article - Bone Strength. Click Here
Languages Spoken
Overview
Field of Expertise
Awards & Achievements
Talks & Publications
- Joint Replacement
- Joint Preservation
- Fractures around hip
- Complex trauma
- Foot and ankle injuries
- Pelvic trauma
- Deformity correction
- Tendon injuries
- Carpal tunnel syndrome
- Non-Union of bones
- Arthrodesis or joint fusion
- Ilizarov’s fixator
- Limb lengthening
- Osteoporosis
- Intra-articular injections
- Osteomyelitis or bone and joint infections
- English
- Hindi
- Malayalam
- Marathi
- Won the best paper award at the 3rd Annual conference of the Indian Society of Hip and Knee Surgeons, 2009 New Delhi for the paper- "Single stage bilateral total knee arthroplasty - a prospective review of immediate outcome in 416 patients".
- Paper presented at WIROC Mumbai,2009 - "Single stage sequential bilateral total knee arthroplasty in patients above 75 years - a review of 134 cases".
- Awarded the best paper at MOACON 2010, Nashik for presentation on - Sequence & results of medial release in 1994 cases of varus knees undergoing TKA.
- Co-authored the chapter "Current Trends in Total Knee Arthroplasty" in Maharashtra Orthopaedic Yearly Journal 2009.
- Case report of "Single stage bilateral total knee arthroplasty in a patient with G6PD deficiency" published as the original article in Journal of Trauma & Orthopaedics ( Volume 10 Issue 1 Jan –March 2015).
- Distal Femur Replacement in a Case of Nonunion Supracondylar Femur Fracture - International Journal of Case Reports (accepted 15 - 7 - 21)
- Dr. Sinukumar Bhaskaran on 5 important things to know before undergoing total knee replacement surgery in The Indian Express | Exclusive Story. Click Here
- Dr. Sinukumar Bhaskaran on Do you experience knee pain while running? Experts explain why India Times (Online) | Exclusive article. Click Here
- FW: Coverage Update | MH Kharadi | Osteoporosis Day. Click Here
- Manipal Hospital kharadi | Article - Bone Strength. Click Here
Dr. Sinukumar Bhaskaran is a distinguished hip& Knee Arthroplasty Surgeon with over 27 years of medical experience and more than 20 years in orthopedic surgery. Heis a consultant at Manipal Hospital, Kharadi, Pune, specializing in hip and knee replacement surgeries, including robotic, computer-navigated, and unicompartmental procedures. Throughout his career, he has successfully performed over 4,000 joint replacement surgeries, making him a leading expert in the field.
Dr. Bhaskaran has received advanced fellowship training in Germany, focusing on complex primary and revision knee replacements at Endoklinik, Hamburg, under the mentorship of Dr. Wolfgang Klauser & Prof. Dr. Thorsten Gehrke. He also completed a fellowship in minimally invasive joint replacement surgery in Germany. His foundational training in orthopedics was under Padmashree Dr. KH Sancheti, one of India’s leading orthopedic surgeons. Additionally, he has served as a surgical lecturer at Deenanath Mangeshkar Hospital, where he mentored upcoming orthopedic surgeons in joint replacement and reconstruction techniques.
Dr. Bhaskaran's contributions to orthopedic research have earned him several prestigious awards, including the Best Paper Award at the Indian Society of Hip & Knee Surgeons Conference ( New Delhi) and MOACON ( Nashik). His research on total knee arthroplasty and complex knee surgeries has been published in leading journals such as the International Journal of Case Reports in Orthopedics and the Journal of Trauma & Orthopedics. He has also co-authored a chapter in the Maharashtra Orthopedic Yearly Journal , further demonstrating his commitment to advancing orthopedic knowledge.
Beyond his clinical expertise, Dr. Bhaskaran is a Founder Member of the Personalized Alignment Club and played a pivotal role in organizing the first Personalized Alignment Meeting in Pune (August. His specialization in alternative alignment techniques like kinematic and functional alignment has significantly improved surgical outcomes in joint replacement patients. With his dedication to cutting-edge advancements and patient-focused care, Dr. Bhaskaran remains a leading figure in hip and knee arthroplasty in India.
Field of Expertise
Languages Spoken
Awards & Achievements
Talks & Publications
Overview
- Won the best paper award at the 3rd Annual conference of the Indian Society of Hip and Knee Surgeons, 2009 New Delhi for the paper- "Single stage bilateral total knee arthroplasty - a prospective review of immediate outcome in 416 patients".
- Paper presented at WIROC Mumbai,2009 - "Single stage sequential bilateral total knee arthroplasty in patients above 75 years - a review of 134 cases".
- Awarded the best paper at MOACON 2010, Nashik for presentation on - Sequence & results of medial release in 1994 cases of varus knees undergoing TKA.
- Joint Replacement
- Joint Preservation
- Fractures around hip
- Complex trauma
- Foot and ankle injuries
- Pelvic trauma
- Deformity correction
- Tendon injuries
- Carpal tunnel syndrome
- Non-Union of bones
- Arthrodesis or joint fusion
- Ilizarov’s fixator
- Limb lengthening
- Osteoporosis
- Intra-articular injections
- Osteomyelitis or bone and joint infections
- English
- Hindi
- Malayalam
- Marathi
- Co-authored the chapter "Current Trends in Total Knee Arthroplasty" in Maharashtra Orthopaedic Yearly Journal 2009.
- Case report of "Single stage bilateral total knee arthroplasty in a patient with G6PD deficiency" published as the original article in Journal of Trauma & Orthopaedics ( Volume 10 Issue 1 Jan –March 2015).
- Distal Femur Replacement in a Case of Nonunion Supracondylar Femur Fracture - International Journal of Case Reports (accepted 15 - 7 - 21)
- Dr. Sinukumar Bhaskaran on 5 important things to know before undergoing total knee replacement surgery in The Indian Express | Exclusive Story. Click Here
- Dr. Sinukumar Bhaskaran on Do you experience knee pain while running? Experts explain why India Times (Online) | Exclusive article. Click Here
- FW: Coverage Update | MH Kharadi | Osteoporosis Day. Click Here
- Manipal Hospital kharadi | Article - Bone Strength. Click Here
Dr. Sinukumar Bhaskaran is a distinguished hip& Knee Arthroplasty Surgeon with over 27 years of medical experience and more than 20 years in orthopedic surgery. Heis a consultant at Manipal Hospital, Kharadi, Pune, specializing in hip and knee replacement surgeries, including robotic, computer-navigated, and unicompartmental procedures. Throughout his career, he has successfully performed over 4,000 joint replacement surgeries, making him a leading expert in the field.
Dr. Bhaskaran has received advanced fellowship training in Germany, focusing on complex primary and revision knee replacements at Endoklinik, Hamburg, under the mentorship of Dr. Wolfgang Klauser & Prof. Dr. Thorsten Gehrke. He also completed a fellowship in minimally invasive joint replacement surgery in Germany. His foundational training in orthopedics was under Padmashree Dr. KH Sancheti, one of India’s leading orthopedic surgeons. Additionally, he has served as a surgical lecturer at Deenanath Mangeshkar Hospital, where he mentored upcoming orthopedic surgeons in joint replacement and reconstruction techniques.
Dr. Bhaskaran's contributions to orthopedic research have earned him several prestigious awards, including the Best Paper Award at the Indian Society of Hip & Knee Surgeons Conference ( New Delhi) and MOACON ( Nashik). His research on total knee arthroplasty and complex knee surgeries has been published in leading journals such as the International Journal of Case Reports in Orthopedics and the Journal of Trauma & Orthopedics. He has also co-authored a chapter in the Maharashtra Orthopedic Yearly Journal , further demonstrating his commitment to advancing orthopedic knowledge.
Beyond his clinical expertise, Dr. Bhaskaran is a Founder Member of the Personalized Alignment Club and played a pivotal role in organizing the first Personalized Alignment Meeting in Pune (August. His specialization in alternative alignment techniques like kinematic and functional alignment has significantly improved surgical outcomes in joint replacement patients. With his dedication to cutting-edge advancements and patient-focused care, Dr. Bhaskaran remains a leading figure in hip and knee arthroplasty in India.
Awards & Achievements
Field of Expertise
Languages Spoken
Talks & Publications
Overview
- Co-authored the chapter "Current Trends in Total Knee Arthroplasty" in Maharashtra Orthopaedic Yearly Journal 2009.
- Case report of "Single stage bilateral total knee arthroplasty in a patient with G6PD deficiency" published as the original article in Journal of Trauma & Orthopaedics ( Volume 10 Issue 1 Jan –March 2015).
- Distal Femur Replacement in a Case of Nonunion Supracondylar Femur Fracture - International Journal of Case Reports (accepted 15 - 7 - 21)
- Dr. Sinukumar Bhaskaran on 5 important things to know before undergoing total knee replacement surgery in The Indian Express | Exclusive Story. Click Here
- Dr. Sinukumar Bhaskaran on Do you experience knee pain while running? Experts explain why India Times (Online) | Exclusive article. Click Here
- FW: Coverage Update | MH Kharadi | Osteoporosis Day. Click Here
- Manipal Hospital kharadi | Article - Bone Strength. Click Here
Dr. Sinukumar Bhaskaran is a distinguished hip& Knee Arthroplasty Surgeon with over 27 years of medical experience and more than 20 years in orthopedic surgery. Heis a consultant at Manipal Hospital, Kharadi, Pune, specializing in hip and knee replacement surgeries, including robotic, computer-navigated, and unicompartmental procedures. Throughout his career, he has successfully performed over 4,000 joint replacement surgeries, making him a leading expert in the field.
Dr. Bhaskaran has received advanced fellowship training in Germany, focusing on complex primary and revision knee replacements at Endoklinik, Hamburg, under the mentorship of Dr. Wolfgang Klauser & Prof. Dr. Thorsten Gehrke. He also completed a fellowship in minimally invasive joint replacement surgery in Germany. His foundational training in orthopedics was under Padmashree Dr. KH Sancheti, one of India’s leading orthopedic surgeons. Additionally, he has served as a surgical lecturer at Deenanath Mangeshkar Hospital, where he mentored upcoming orthopedic surgeons in joint replacement and reconstruction techniques.
Dr. Bhaskaran's contributions to orthopedic research have earned him several prestigious awards, including the Best Paper Award at the Indian Society of Hip & Knee Surgeons Conference ( New Delhi) and MOACON ( Nashik). His research on total knee arthroplasty and complex knee surgeries has been published in leading journals such as the International Journal of Case Reports in Orthopedics and the Journal of Trauma & Orthopedics. He has also co-authored a chapter in the Maharashtra Orthopedic Yearly Journal , further demonstrating his commitment to advancing orthopedic knowledge.
Beyond his clinical expertise, Dr. Bhaskaran is a Founder Member of the Personalized Alignment Club and played a pivotal role in organizing the first Personalized Alignment Meeting in Pune (August. His specialization in alternative alignment techniques like kinematic and functional alignment has significantly improved surgical outcomes in joint replacement patients. With his dedication to cutting-edge advancements and patient-focused care, Dr. Bhaskaran remains a leading figure in hip and knee arthroplasty in India.
- Joint Replacement
- Joint Preservation
- Fractures around hip
- Complex trauma
- Foot and ankle injuries
- Pelvic trauma
- Deformity correction
- Tendon injuries
- Carpal tunnel syndrome
- Non-Union of bones
- Arthrodesis or joint fusion
- Ilizarov’s fixator
- Limb lengthening
- Osteoporosis
- Intra-articular injections
- Osteomyelitis or bone and joint infections
- English
- Hindi
- Malayalam
- Marathi
- Won the best paper award at the 3rd Annual conference of the Indian Society of Hip and Knee Surgeons, 2009 New Delhi for the paper- "Single stage bilateral total knee arthroplasty - a prospective review of immediate outcome in 416 patients".
- Paper presented at WIROC Mumbai,2009 - "Single stage sequential bilateral total knee arthroplasty in patients above 75 years - a review of 134 cases".
- Awarded the best paper at MOACON 2010, Nashik for presentation on - Sequence & results of medial release in 1994 cases of varus knees undergoing TKA.
Talks & Publications
Overview
Field of Expertise
Languages Spoken
Awards & Achievements
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FAQ's
Patients often seek Dr. Sinukumar Bhaskaran’s expertise as the Consultant - Adult Joint Replacement & Reconstruction and Robotic Arthroplasty (Hip & Knee) at Manipal Hospitals Kharadi - Pune. Dr. Sinukumar Bhaskaran is a orthopedic doctor Kharadi, Pune associated with Manipal Hospitals. Book an appointment now for a consultation.
Dr. Sinukumar Bhaskaran Specialises in:
- Joint Replacement
- Joint Preservation
- Fractures around hip
- Complex trauma
- Foot and ankle injuries
- Pelvic trauma
- Deformity correction
- Tendon injuries
- Carpal tunnel syndrome
- Non-Union of bones
- Arthrodesis or joint fusion
- Ilizarov’s fixator
- Limb lengthening
- Osteoporosis
- Intra-articular injections
- Osteomyelitis or bone and joint infections
To book an appointment with Dr. Sinukumar Bhaskaran at Manipal Hospitals Kharadi - Pune, please call 020 6813 8888. Our dedicated team will assist you in scheduling a convenient time for your consultation.
Dr. Sinukumar Bhaskaran has extensive experience and qualifications in Orthopaedics, Robotic Orthopaedics Surgery at Manipal Hospitals Kharadi - Pune. With expertise spanning MBBS . Diploma in Orthopaedics . DNB Orthopaedics . Fellowship in Arthoplasty, bringing a wealth of knowledge and skill to their practice, ensuring top-notch patient care. Dr. Sinukumar Bhaskaran has also published numerous articles and publications in the field of Orthopaedics, Robotic Orthopaedics Surgery.
For your initial appointment with Dr. Sinukumar Bhaskaran, please bring any relevant medical records, including previous imaging scans, laboratory results, and medication lists. It's important to provide a detailed medical history and any pertinent information about your condition. If you have insurance, please bring your insurance card and any necessary referral documents. This will help facilitate a comprehensive evaluation and discussion during your appointment.
Refund Policy
1) Up to 4 hrs of appointment time:
Rescheduling of doctor appointment can be done within a week from the date of appointment as per doctor / slot availability.
Cancellation can be done with full refund of the payment.
2) Up to 2 hrs of appointment time:
Rescheduling of doctor appointment can be done within a week from the date of appointment as per doctor / slot availability.
Cancellation of appointment and refund with a cancellation charge of Rs.100/-.
3) Less than 2 hrs of appointment time:
Rescheduling / cancellation of appointment cannot be done, payment non-refundable in this case. However, Units can have the discretion to refund / reschedule in case of exigencies.
Please note : While making the payment online, above mentioned payment terms and conditions should be agreed upon by customers, by clicking in a box ( I agree) and then proceed for payment.
PATIENT CONSENT FOR TELEMEDICINE / TELECONSULTATION
Telemedicine involves the use of electronic communications to enable Hospitals/health care centres to provide healthcare services at different locations through exchange of information and for the purpose of improving patient care. I, confirm that I have received the necessary information to sign this form and I agree to take part in a live telemedicine/teleconsultation session with Manipal Hospitals.
I understand that:
- Interactive audio/video connection, electronic information and communication technologies shall be used for providing me with a telemedicine/teleconsultation.
- In case the information obtained via teleconsultation is not sufficient to make a diagnosis, I may be required to go to Manipal Hospitals for in-person consultation.
- Though the telemedicine/teleconsultation is private, other individuals, medical and non-medical, may be present to facilitate the consultation and that they will take reasonable steps to maintain confidentiality of the information obtained.
- A limited visual examination will take place during the telemedicine/teleconsultation and that it cannot replace a full medical examination done physically at Manipal Hospitals.
- I have the right to withhold or withdraw my consent to the use of telemedicine/teleconsultation in the course of my care at any time, without affecting my right to future care or treatment. I may also revoke my consent orally or in writing at any time.
- I may be prescribed medicines for treatment or/and diagnostic tests to further evaluate my health condition. All prescription will be sent to my registered email/phone no. Manipal Hospitals will keep a record of the consultation & prescription in my medical record.
- The telemedicine/teleconsultation services are not in any way intended to be used in case of an emergency.
- There can be potential risks with this technology e.g information transmitted may not be sufficient to allow for appropriate medical decision, the video /audio may disconnect/stop in-between, security protocols could fail causing a breach of privacy of personal medical information.
- Any relevant medical information about me including details of my medical history, examinations, x-rays, tests, photographs or other images may be transmitted /shared by Manipal Hospitals with their staff, specialist, business partners for the purpose of record, communications, feedback, enquires, follow ups, analysis etc.
- Manipal Hospitals responsibility shall terminate upon conclusion of this teleconference.
- I hereby consent that in consideration for the telemedicine / teleconsultation services rendered to me, I agree to pay the relevant charges.
- I hereby release Manipal Hospitals, its personnel and any other person participating in my care from any and all liability which may arise from authorized use of such Video / E-Consultation, Videotapes, Digital recording films and Photographs. I have read this document and understand the risk of the telemedicine / teleconsultation.
- I hereby consent to participate in a telemedicine / teleconsultation under the terms & conditions described in this document.
