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Salem
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Patient Registration Details
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Other Details
Declaration
Patient Registration Details
Basic Details
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Declaration
Patient Registration Details
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Declaration
Consent and Declaration
I, the undersigned, declare that the above information provided by me are true to the best of my knowledge and hereby provide my consent to the Manipal Hospital to provide Medical Care, Treatment, Conduct Investigations and Diagnostic Procedures necessary for the above mentioned individual by Medical Staff at Manipal Hospital. I, also understand that Manipal Hospital will not be responsible for any loss, damage or theft of any Personal Property/Belongings of Me/Patient/Visitors within the Hospital Premises. Including Patients rooms and Parking area. I agree to follow all the rules and regulations of Hospital and clear all the expenses incurred for My/Patient treatment on time as per the Terms and Conditions of Manipal Hospital,
If consent provided on behalf of the patient.
I hereby give my consent and authorize Manipal Hospitals to process, store,use,disclose my personal or sensitive information/data collected as per Manipal Privacy Policy
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manipal-hospital-admin
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confirmed.
The details will be shared via Email & SMS
Note :Temporary visitor restriction, only one attendant is permitted with the patient. Your cooperation is solicited.
Dr. Nilofer Aqthar J is a highly skilled and experienced dental professional currently working as a Consultant in Dental Medicine at Manipal Hospital. With a strong educational background and extensive training, she offers her patients variety of dental services. Dr. Nilofer Aqthar J holds a BDS (Bachelor of Dental Surgery) degree from Vinayaka Missions Dental College, which she obtained in 2008. She further expanded her expertise by completing a Diploma in NLD (Non-Laser Diode) and a comprehensive course in Modern Endodontics in 2012. Additionally, she pursued a Diploma in Diode LASER Dentistry from the Indian Academy of LASER Dentistry in 2013. Her commitment to staying updated with the latest advancements in the field ensures that her patients receive the highest quality of care. As a multilingual dental professional, Dr. Nilofer Aqthar J can effectively communicate with her patients in English and Tamil. This ability to converse in different languages helps her create a comfortable and inclusive environment for individuals from diverse backgrounds. With her expertise in dental medicine, Dr. Nilofer Aqthar J provides various services to address her patients' oral health needs. These include tongue tie release, orthotic splints, tooth extraction, dental fillings, ceramic veneers/crowns, teeth whitening, wisdom tooth extraction, bleeding gums treatment, gum disease treatment/surgery, temporomandibular joint disorder management, teeth straightening, tooth air polishing, tooth-coloured fillings, RCT (Root Canal Treatment), and zirconia crowns. Her comprehensive range of services reflects her dedication to delivering comprehensive and personalised dental care. For the same reason, she is regarded as the best dentist in Salem.
Dr. Nilofer Aqthar J has accumulated valuable experience throughout her career. She started as a Consultant at a private practice from 2008 to 2009, where she gained practical insights into patient care. Subsequently, she served as a Dental Surgeon at Dr. Paulose Memorial Maxillofacial Centre from 2010 to 2011, further refining her surgical skills. Since 2012, she is the Head of JJ Clinic, where she continues to positively impact her patients' oral health. Her professional affiliations include membership in the Dental Council of India. This association demonstrates her commitment to upholding the highest standards of dental practice and staying updated with the industry's guidelines and regulations. Dr. Nilofer Aqthar J's dedication to her profession has been recognised through her participation in training programs and receiving awards. In 2013 she completed a Diploma in Diode LASER Dentistry, showcasing her expertise in this specialised field. Furthermore, she completed a comprehensive course in Modern Endodontics in 2012, further enhancing her skills and knowledge. With her wealth of experience and exceptional qualifications, Dr. Nilofer Aqthar J has established herself as a reputable dentist and dental surgeon. Her commitment to providing top-notch dental care and compassionate approach toward her patients makes her a sought-after professional.
- English
- Tamil
Overview
Languages Spoken
- English
- Tamil
Dr. Nilofer Aqthar J is a highly skilled and experienced dental professional currently working as a Consultant in Dental Medicine at Manipal Hospital. With a strong educational background and extensive training, she offers her patients variety of dental services. Dr. Nilofer Aqthar J holds a BDS (Bachelor of Dental Surgery) degree from Vinayaka Missions Dental College, which she obtained in 2008. She further expanded her expertise by completing a Diploma in NLD (Non-Laser Diode) and a comprehensive course in Modern Endodontics in 2012. Additionally, she pursued a Diploma in Diode LASER Dentistry from the Indian Academy of LASER Dentistry in 2013. Her commitment to staying updated with the latest advancements in the field ensures that her patients receive the highest quality of care. As a multilingual dental professional, Dr. Nilofer Aqthar J can effectively communicate with her patients in English and Tamil. This ability to converse in different languages helps her create a comfortable and inclusive environment for individuals from diverse backgrounds. With her expertise in dental medicine, Dr. Nilofer Aqthar J provides various services to address her patients' oral health needs. These include tongue tie release, orthotic splints, tooth extraction, dental fillings, ceramic veneers/crowns, teeth whitening, wisdom tooth extraction, bleeding gums treatment, gum disease treatment/surgery, temporomandibular joint disorder management, teeth straightening, tooth air polishing, tooth-coloured fillings, RCT (Root Canal Treatment), and zirconia crowns. Her comprehensive range of services reflects her dedication to delivering comprehensive and personalised dental care. For the same reason, she is regarded as the best dentist in Salem.
Dr. Nilofer Aqthar J has accumulated valuable experience throughout her career. She started as a Consultant at a private practice from 2008 to 2009, where she gained practical insights into patient care. Subsequently, she served as a Dental Surgeon at Dr. Paulose Memorial Maxillofacial Centre from 2010 to 2011, further refining her surgical skills. Since 2012, she is the Head of JJ Clinic, where she continues to positively impact her patients' oral health. Her professional affiliations include membership in the Dental Council of India. This association demonstrates her commitment to upholding the highest standards of dental practice and staying updated with the industry's guidelines and regulations. Dr. Nilofer Aqthar J's dedication to her profession has been recognised through her participation in training programs and receiving awards. In 2013 she completed a Diploma in Diode LASER Dentistry, showcasing her expertise in this specialised field. Furthermore, she completed a comprehensive course in Modern Endodontics in 2012, further enhancing her skills and knowledge. With her wealth of experience and exceptional qualifications, Dr. Nilofer Aqthar J has established herself as a reputable dentist and dental surgeon. Her commitment to providing top-notch dental care and compassionate approach toward her patients makes her a sought-after professional.
Languages Spoken
Overview
The benefits of Prime Access OPS are as below:
- Minimal Waiting Time for Consultations.
- Exclusive Waiting Area
- Personal Attention.
- Fast tracked Services.
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.
