Consent & Safety Form

Version 1.0 — Please read carefully and complete all sections

Why This Matters

Mudhumeni WeUtano is an AI-powered wellness screening platform that analyses your health data to provide risk assessments for conditions including hypertension, cardiovascular disease, diabetes, and mental health.

To ensure your safety and the safety of those who care about you, we require:

Your informed consent to process health data
Next of kin contact details for emergency communication
Disclosure authorization allowing us to share critical health findings with your next of kin when necessary

Data Processing & Health Screening Consent

By using this platform, you acknowledge and agree that:

Health screening results are not medical diagnoses. All assessments are AI-generated risk indicators and should be confirmed by a qualified healthcare professional.
Your health data will be processed to generate risk assessments, track wellness trends, and provide personalised health recommendations.
Data may be shared with your registered next of kin in the following situations:
- When screening results indicate a critical or high-risk health condition
- When you are unreachable and urgent health follow-up is required
- When emergency medical intervention may be necessary
Anonymised, aggregated data may be used for public health research and platform improvement. No personally identifiable information is shared in such cases.

I understand and consent to the processing of my health data as described above.

Next of Kin Details

This person will be contacted in case of a health emergency or critical screening result.

Full Name *

Relationship *

Phone Number *

Email Address (optional)

Emergency Disclosure Authorization

In the event of a critical health finding (such as hypertensive crisis, dangerously elevated glucose, or severe mental health risk), the platform may contact your registered next of kin to:

Inform them of the critical screening result
Advise them to assist you in seeking immediate medical attention
Share relevant health data necessary for emergency response

Your next of kin will only be contacted when there is a genuine health concern that requires urgent attention. Routine screening results are never shared.

I authorize Mudhumeni WeUtano to share my critical health information with my registered next of kin during emergencies as described above.

I have read and understood all sections of this consent form. I confirm that the next of kin information provided is accurate and that I authorize the platform to act as described. I understand that I can update my next of kin details at any time from my profile.

Consent Version 1.0 — You can update your next of kin details anytime from your Profile page.