I hereby authorize Minet Kenya Insurance Brokers who are my/or my employers medical scheme administrators to enrol me into the Minet Chronic Disease Management Program. With this enrolment I fully understand as follows:

1. The doctors and clinical team will periodically contact me on email or telephone for an update and to offer any assistance I may need during the course of my treatment.
2. The doctors/hospitals that I am or will be attending to me will provide Minet Kenya with detailed medical information and other relevant information as and when need may arise.
3. My condition may be subject to disease management interventions and protocols as well as periodic review of my medical records from attending doctors.
4. I may discontinue my enrolment from this program if I cease to be an employee of the company.
5. I will be supported through health coaching and other tools in order to make better health choices.