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Participant ID: —
Personal Information
Health Facility Information
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Health Information
Consent & Authorization
By participating in this service/program, I hereby authorize Dwara Innovation to collect, store, and process my personal information as needed to deliver the agreed-upon services. This includes, where necessary, obtaining relevant data from third parties (such as service providers, partners, or institutions) with the sole purpose of assessing needs, delivering solutions, or supporting my participation.
I understand that:
• My information will be handled in accordance with applicable data protection laws and privacy policies.
• All data collected will be used strictly for service-related purposes and will not be sold or used for unrelated activities.
• I may withdraw this consent at any time by notifying transform@dwarai.com.
By continuing, I acknowledge that I have read, understood, and voluntarily agree to the terms above.
Please review & accept the Consent to finalize your health info.