info@medweight.ca (604) 777-5500 1550 United Blvd, Coquitlam, BC

Registration

Fill in the form below. When completed, click submit. (*) indicates required field.

First Name * (as it appears in your care card)

Middle Name (as it appears in your care card)

Last Name * (as it appears in your care card)

Care Card #*

Date of Birth *
(mm/dd/yyyy)

Address *

Home Phone *
 Work Phone
 Cell Phone

Email *

Password *

Name and phone # of your Family Doctor or the one you frequent most often *

Name and phone # of your regular pharmacy

Biological Sex * Female   Male

Gender Female   Male   Other  
-If entering 'Other' above, please be specific so that we are able to address you appropriately.

Height *
Feet    Inches

Weight *
Lbs

Any medical issues with your weight?

Consent for Use of Tali AI at the Obesity Medicine & Diabetes Institute

Clinic: Obesity Medicine & Diabetes Institute (OMDI)
Address: 1550 United Blvd, Coquitlam, BC, V3K 6Y2

At OMDI, we use Tali AI, a secure, privacy-compliant clinical assistant developed in Canada, to support physicians in documenting your medical visits more accurately and efficiently.

What You Should Know:

  • Tali only records audio when your physician activates it during your visit.
  • Audio is deleted immediately after secure transcription.
  • A written transcript of your consultation is securely processed and returned for your physician to review, edit, and store in your medical record.
  • Tali captures only spoken words during the session — it does not access other personal or health data.
  • Your data is stored on secure Canadian servers, and Tali is fully compliant with BC's Personal Information Protection Act (PIPA).
  • While FIPPA (Freedom of Information and Protection of Privacy Act) applies to public bodies, Tali's privacy safeguards align with FIPPA's principles and standards.
  • Tali does not retain or use any identifiable information to train its AI tools.
  • The transcript is considered part of your legal medical record and is protected under standard medical confidentiality practices.

Tali allows physicians to focus more on your care, instead of on typing. This tool is an integral part of how we provide safe, timely, and complete medical documentation at OMDI.

Your Consent

Your consent is required to participate in this aspect of your care. Without it, we may be unable to proceed with your enrollment in our program.

If you have questions or concerns, please speak with our Patient Care Manager or refer to our Privacy Policy.

Patient Acknowledgment and Agreement

I confirm that:

  • I have read and understood this consent form.
  • I had the opportunity to ask questions and received clear answers.
  • I consent to the use of Tali AI during my medical visits at OMDI.

I understand that:

  • I may withdraw my consent at any time by notifying the clinic in writing.
  • Withdrawal may affect my ability to participate in the program, as documentation using Tali may be essential.
  • The transcript created through Tali becomes part of my confidential medical record.

REQUIRED CONSENT *

Digital Signature *

Date: 2025-09-18

(*) indicates required field.