I accept below terms and conditions before arrangements for the treatment facilitation and trip, my consent approval is the sign on this form; my signature signify my agreement with the following terms and conditions:


Travel arrangements involving airline and cruise components are subject to supplemental price increases that may be imposed by the supplier and/or government after you have completed your purchase. You hereby consent to any such price increases and authorize your credit or debit card to be used for them.
YALLACARE has no special knowledge regarding the hazards of medical procedures in any location, suitability of medical travel for any person, financial condition of any Supplier, unsafe conditions, health hazards, weather hazards, political conditions, or climate extremes at locations to which you may travel. For information concerning possible dangers at destinations. You assume full and complete responsibility for checking and verifying any and all passport, visa, vaccination, or other entry requirements of your destination(s), and all conditions regarding health, safety, security, political stability, and labor or civil unrest at such destination(s). You hereby agree to submit all claims against us within 30 days after the return of your trip. You agree that the courts in {New Delhi, India} will be the exclusive jurisdiction for all claims brought by you or YALLACARE, and you hereby submit to the personal jurisdiction of those courts.

YallaCare assumes no responsibility for and shall not be liable for any refund, personal injury, property damage, or other loss, accident, delay, inconvenience, or irregularity which may be caused by: (1) any defaults, wrongful or negligent acts, or omissions of the Suppliers; (2) any defect in or failure of any vehicle, craft, equipment, or instrumentality owned, operated, or otherwise used or provided by the Suppliers; (3) any wrongful or negligent acts or omissions on the part of any other party not under Yallacare’s control; and (4) any Supplier price drop after your travel arrangements have been confirmed, paid in full, or ticketed

YallaCare (“Mazoon Diamond Tower Trad & Cont – CR No: 1138665”) acts as a sales agent and facilitator for the medical travel fulfillment company, Hospitals, airline, hotel, car-rental company, tour operator, cruise line, or other service provider named in your itinerary (“Suppliers”). YallaCare is not responsible for acts or omissions of the Suppliers or their failure to provide services.


You understand and agree that during your medical travel trip, there will be risks inherent in such travel, such as risks of negligence by physicians, hospitals, and other providers of medical services. In consideration of YALLACARE work in making travel arrangements, YOU HEREBY EXPRESSLY ASSUME ALL OF THE ABOVE RISKS, and to the extent permitted by law, the risk of negligent acts or omissions of YALLACARE in recommending or making such travel arrangements, and YOU HEREBY EXPRESSLY AGREE TO FOREVER RELEASE, DISCHARGE AND HOLD YALLACARE and its agents, employees, officers, directors, associates, affiliated companies, and subcontractors HARMLESS against any and all liability, actions, causes of action, debts, suits, claims, and demands of any and every kind and nature whatsoever which you now have or which may hereafter arise out of or in connection with your trip. THE TERMS OF THIS AGREEMENT SHALL SERVE AS A COMPLETE RELEASE AND EXPRESS ASSUMPTION OF RISK for yourself, your heirs, assignees, administrators, executors, and all members of your family, including any minors accompanying you. YOU HAVE READ AND FULLY UNDERSTAND THE PROVISIONS AND THE LEGAL CONSEQUENCES OF THIS RELEASE AND ASSUMPTION OF RISK, AND YOU HEREBY AGREE TO ALL OF ITS CONDITIONS. YOU ACKNOWLEDGE THAT YALLACARE HAS RECOMMENDED THAT YOU HAVE YOUR ATTORNEY REVIEW THIS RELEASE PRIOR TO YOUR SIGNING IT. You acknowledge that in calculating the cost of the trip, YALLACARE has relied on your consent to these terms and on their enforceability, and that, in the absence of this Release, the trip cost would have been higher, or, alternatively, YALLACARE would be unable to offer these services.


For your protection, we strongly recommend that you purchase travel insurance covering cancellations as well as insurance covering complications from medical procedures abroad. For your protection, we strongly recommend that you purchase trip cancellation and travel accident insurance. However, no representation or description of the insurance made by our staff constitutes a binding assurance or promise about the insurance Check the appropriate box below. We also strongly recommend that you use a credit card for your purchase, so that you can exercise your rights under the Fair Credit Billing Act if you do not receive the services you purchased.

We are liable for

1.Committed services, Fixed dates and hospitals for treatment

2.Making arrangements for the value added services like Transport, translator, accommodations and sightseeing

YallaCare is not liable and held responsible for

1.Acts or omissions of suppliers, including travel suppliers and health-care providers

2.Acts of omissions of other middlemen, such as tour operators, consolidators, and medical travel facilitators, if their identities are disclosed

3.Anything else that goes wrong on a trip, including acts of God.


Name and Signature : ___________________________________________________

Print Name : _________________________________________________________

Treatment Destination : __________________________________________________

Date : _____________________________________________________________