1. We will completely follow home isolation care guidelines as advised by our treating physician.
2. I have been clinically assigned as a very mild/pre-symptomatic/asymptomatic case
by my treating medical doctor based upon my reports.
3.I know that, I / my family should have the requisite facility at my residence for self-isolation and also for
quarantining the family contacts.
4. I know that, Patients suffering from immune compromised status (HIV, Transplant recipients, Cancer
therapy etc) are not eligible for home isolation.
5. I know that, Elderly patients aged more than 60 years and those with co-morbid conditions such as
Hypertension, Diabetes, Heart disease, Chronic lung/liver/ kidney disease, Cerebro-vascular
disease etc shall only be allowed home isolation after proper evaluation by our treating
medical officer.
6. A care giver should be available to provide care on 24 x7 basis. A communication link between
the caregiver and hospital is a prerequisite for the entire duration of home isolation.
7. I know that, The care giver and all close contacts of such cases should take Hydroxychloroquine prophylaxis
as per protocol and as prescribed by the treating medical officer.
8. I shall download Arogya Setu App on mobile (available at: https://www.mygov.in/aarogya-setuapp/) and it should remain active at all times (through Bluetooth and Wi-Fi)
9. The patient shall agree to monitor his health and regularly inform his health status to treating doctor who will facilitate further follow up.
10. The patient will fill in an undertaking on self-isolation (Annexure I) and shall follow home
quarantine guidelines. The treating doctor should satisfy himself before allowing home
isolation.
11. In addition to the guidelines on home-quarantine available at:
https://www.mohfw.gov.in/pdf/Guidelinesforhomequarantine.pdf, the required instructions
for the care giver and the patient as in Annexure II shall be also followed.
12. Whole payment has to be done before starting home isolation care.
13. Home isolation for covid package is only refundable upto 7 days of enrollment ( 40% of total deposit ( Rs 6986) will be given as refund). After 7 days of enrollment, this care is non refundable by Hospital.
14. Laboratory, Ambulance, Medicines charges are all exclusive of home isolation care package.
15. Any health insurance policy is subject to claim (if falling under diagnosis criteria and other terms and condition), but we can not guaranty for claims. That terms and condition will be as per policy company. We will help in form filling and giving other necessary documents (like monitoring sheets, treatment sheet, hospital bill, Prescription, etc..)
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