Patient consent template

Patient consent sits with you as the treating doctor. This is the template the service provides for you to use. The same text is emailed to you once your registration is checked.

Download the template (text, version 1-2026-09-27)

Version 1-2026-09-27, published 27 Sep 2026. SHA-256 2d1d3074fa5ba7fbfc200fadd96e1f7e1d047dc4846868100441d04d8cf8c528

Patient notice: how your discharge summary is prepared

Version 1, 27 September 2026. For the doctor to give to the patient, or read out, before entering the patient's details.

Your doctor: ____________________ Hospital or clinic: ____________________

Your doctor uses a service called Kural, made by Intelliwise Private Limited, Bengaluru, to prepare your discharge summary: the paper that records your stay and tells you how to look after yourself at home.

What is used. Your name, age and sex; your hospital numbers (IP number and UHID); the dates of your stay; your diagnosis, any operation, your test results, allergies and medicines; and your doctor's notes about your stay.

How it is prepared. Your doctor writes a short note about your stay. An artificial-intelligence service run by Anthropic, a company outside India, reads the note and writes a first draft. Anthropic does not use your details to train its AI. Your doctor reads every line, corrects it and signs it. Only your doctor can sign it.

Where it is kept. On Google Cloud computers in Mumbai, India, in a protected section of a database that Intelliwise also uses for its hospital product, DOM.

How long. A signed discharge summary is a medical record. It is kept permanently and is not deleted. If something needs correcting, a new version is made and the old one is kept.

Improving the service. Intelliwise may read these records, only to test and improve how Kural drafts, including training its own AI. It never publishes your details or gives them to anyone else.

What is never done. Your details are not sold, not used for advertising, not given to others for their own use, and not used to contact you.

Questions. Ask your doctor. You can also write to Intelliwise at contact@intelliwise.co.in; please do not send medical details by email.

I have read this notice, or had it read to me in a language I understand, and I agree that my details are used as described above to prepare my discharge summary.

Patient's name: ____________________ Or the person agreeing for the patient: ____________________

Relationship to the patient: ____________________

Signature or thumb impression: ____________________ Date: ____________

Doctor's name and registration number: ____________________