I, the undersigned, hereby voluntarily consent to allow the physician(s)/medical personnel, as well as the relevant team assigned by Ganesh Wellness Medical Clinic, to participate in my anti-aging medical care by providing the necessary medical services for such care.

I have been fully informed by the examining physician and the medical personnel regarding the information, examination procedures, treatments and procedures, treatment outcomes, risks, side effects, and potential complications of the medical services.

I confirm that all information and medical history provided to the Service Provider are true and accurate. I consent to the disclosure of my medical history solely for the benefit of the services provided.

I consent to the Service Provider taking still and moving images of my body, including my face, both before and after receiving examination, treatment, and procedures.