This form is for gathering information of members for enrolment to the SenSights platform.
To provide you the best experience possible, we need to know a little about you. This form should only take a few minutes. Please fill the form accurately as this information will be used to validate your identity during the onboarding call.
Consent - By filling us this form you agree to the following:
1. Be a part of the SenSightsRPM solution.
2. Share all the information asked in this form with the SenSights RPM Team and your personal healthcare team that are a part of SenSights.AI.
3. In case of an emergency, allow us to contact your family member, friend or caregiver on your behalf, whose information you will be providing to us in this form.