Consent for Data Collection & Processing

A. Introduction

At Neam Clinic, your privacy is our priority. We collect and process sensitive personal data to provide you with the best healthcare services. Please review the following details and give your informed consent.

B. What Data We Collect

Below is a list of data points we collect:

• Child Information
  • Full Name
  • Age
  • Gender (Dropdown)
  • Child’s Diagnosis
  • Date of Diagnosis
  • Age at Diagnosis
  • Address
  • City
  • Country
• Parent Information
  • Father’s Name
  • Mother’s Name
  • Phone Number
  • Email
  • How you heard about us
• Medical Information
  • Is your child currently on any medications?
  • If yes, please list Medication/Supplements
  • Diagnosed Medical Conditions
  • Allergies
• Expectations
  • Skill areas that are a priority
  • Short-term and long-term goals
• Educational Services Information
  • Is your child enrolled in a school setting?
  • Does your child have a home program?
  • Attach most recent provider reports (Attachment)
• Behavioural Language Assessment
  • Attach most recent ABLLS assessment (Attachment)
• Expressive Verbal Skills
  • How your child indicates what he/she wants
  • Ability to imitate vocal sounds, words, phrases
• Receptive Language Skills
  • Ability to follow directions and one-step instructions
• Motor Imitation
  • Ability to imitate simple motor movements
• Social Skills
  • Eye contact with (Mom, Dad, Siblings, Familiar People, Others)
  • Response when addressed by others
• Fine Motor and Gross Motor Skills
  • Gross motor skills (kick a ball, running, jumping, etc.)
• Self-Help Skills
  • Activities of Daily Living (Toileting, Feeding, Dressing)
  • General self-help skills
• Problem Behaviour
  • General behavior at home and community
  • Do you modify family activities due to behavior?
  • Engagement in (Physical Aggression, Property Destruction, Ritualistic Behaviour, Self-Injurious Behaviour, Self-Stimulatory Behaviour, Unsafe/Dangerous Behaviour)
• Reinforcement/Child Preferences
  • Items and activities the child enjoys
• Other
  • Any other important information about the child

C. Why and How We Use Your Data

Your data is collected and used for the following purposes:

• Purpose of Collection:

  Your data is used exclusively to facilitate direct communication with Neam Clinic and to ensure you receive personalized care.

• Usage & Storage:

  We store your data securely using industry-standard measures. It is retained only as long as necessary and is not shared with third parties except as required by law or with your explicit permission.

• Data Security:

  Robust technical and organizational measures are in place to protect your information from unauthorized access or misuse.

D. Your Rights

You have the following rights concerning your personal data:

• Access and Control:

  You have the right to access, correct, or delete your data at any time. For more details, please refer to our Privacy Policy.

• Withdrawal:

  You may withdraw your consent at any time by contacting us through the provided channels.