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Harley Surgical Group

THE MEDICAL SERVICES AGREEMENT

This Medical Services Agreement (the “Agreement”) is entered into on Date (the “Effective Date”), by and between: Harley Surgical Group, with an address of [Patient Name] (the “Patient”); and [Patient Name], with an address of Harley Surgical Group (the “Company”), collectively the “Parties.”

It is agreed between the Parties as follows:

  1. The Company is engaged in the business of medical services. It provides access to clinical care to patients and its sole purpose is to facilitate or refer patients to a Doctor, Nurse or Practitioner and other Team of healthcare professionals as per applicable and for the Patient to make the decision on which course they will take for their required surgical or non-surgical
  2. For the purpose of this Agreement and with regard to the Patient, the Patient acknowledges that the Company acts only in the capacity of facilitator and/ or The Company is not the Patient’s surgeon or any other medical provider. The Company does not perform any surgery or medical procedure. The Patient acknowledges that she/he has conducted the necessary due diligence and has decided to seek treatment with no insurance or pressure from the Company.

DISPUTE RESOLUTION

  1. The Patient understands that the Company offers no insurance, guarantee or warranty in any respect related to products or services delivered or rendered by third parties. Any dispute or claims against a third party providers (i.e surgeon, medical facility, ) will need to be resolved by the Patient and third party service provider(s) directly pursuant to laws of the country where the services were performed.

COSTS AND PAYMENT

  1. The total price quoted by the Company is an estimate of the total cost of services but does not include unanticipated cost that are unrelated to the desired procedure, complications that are unrelated and/ or not detected prior to the surgical or non-surgical procedure, any revision surgery or unplanned return to a Doctor, Nurse or Practitioner and other Team of healthcare professionals as per applicable for any secondary procedure resulting from complications arising directly or indirectly from the initial surgery or medical These charges would be in addition to the total cost indicated in the initial price quotation.
  2. The Patient will pay the entire amount for their surgical or non-surgical procedure directly to the Company. The surgical or non-surgical procedure is subject to cancellation unless payment is received from the In all cases, full payment must be made, and cleared the bank completely before any procedure can take place.

CONFIDENTIALITY

  1. All personal information including any Patient medical records received by the Company will be held in the strictest confidence.
  2. The Patient agrees to the following:

 

 

 

I consent to digital medical imaging (photography and or video recording) to be made of me for medical records only.

 

 

 

I understand that the information may be used in my medical record, for purposes of medical teaching, publication in medical textbooks, journals and social media as I have designated below. My refusal to consent to photographs and video recordings will in no way

affect the medical care I will receive. If I have any questions or wish to withdraw my consent in the future I may contact the hospital.

 

 

 

DISCLAIMER

  1. The Patient accepts full responsibility for their own safety and expressly assumes all risks of whether foreseen or unforeseen, and whether occurring while travelling, during pre/post-operative care, during the desired procedure, at any time. The Patient acknowledges that the Company serves only as a facilitator and coordinator of surgery and surgical or non-surgical procedures and that ultimately the extent, nature and scope of treatment received by the Patient was the Patient’s decision alone. The Company does not sell insurance of any kind, but deals exclusively with insured, accredited hospitals. The Company uses its best e orts to provide a range of options for the Patient to consider and consult with their chosen Doctor, Nurse, Practitioner and other Team of healthcare professionals as per applicable. All surgical or non-surgical services are provided by Doctors, Nurses, Practitioners and other Team of healthcare professionals as per applicable who are not employees of the Company.
  2. All information is provided for education and information purposes only and is not intended to be a substitute for the advice of a Doctor, Nurse, Practitioner and other Team of healthcare professionals as per applicable. Any information provided should not be considered complete nor should it be relied on to suggest a course of treatment for a particular
  3. The Company does not recommend, endorse or provide any specific test, products, or procedures of a medical nature. Reliance on any information or referrals provided by the Company is solely at your own risk. The Company assumes no liability or responsibility for damage or injury to persons or property arising from any use of any product, information, idea, or instruction offered or provided to you by the medical professionals that implement them.

The Parties agree to the terms and conditions set forth above as demonstrated by their signatures as follows:

 

 

I agree to the Terms and Conditions

Yes

/ No

 

 

Patient’s Name:                     [Patient Name]

 

CANCELLATION POLICY

TERMS AND CONDITIONS FOR SURGICAL PROCEDURES

These Terms and Conditions of Business (“Terms and Conditions”) apply to the supply of services by Harley Surgical Group Ltd Registration No 12406163) trading as The Harley Surgical Group(“The Clinic”) of 21 Knightsbridge sw1x7ly. In the event of any inconsistency between these Terms and Conditions and the contents of other literature provided by The Clinic to the Patient, these Terms and Conditions shall prevail.

1.    DEFINITIONS AND INTERPRETATION

  • In these terms and conditions the following words and expressions shall have the meanings respectively set against them.

 

“Balance”

That portion of the Fee for a Procedure that remains unpaid after payment of a deposit or partial payment of the fee for the Procedure.

“Confirmation Pack”

The Clinic’s standard email containing details of the Procedure booked by the Patient, including the type of Procedure, the fee for the Procedure, the date of the Procedure, the date by which the fee for the Procedure must have been paid in full and pre- operative self-assessment forms

“Clinician”

A Nurse, Surgeon or Doctor (as the case may be)

“Complaints Procedure – Patient Guide”

The Clinic’s complaints procedure for patients which can be obtained by emailing admin@zainlondon.com

 

“Consent Form”

The consent form signed by the Patient signifying his/her consent to a Procedure

“Consultation”

A consultation with a Doctor, Nurse, Practitioner, and any other Team of healthcare professionals as per applicable about a Procedure(s) being contemplated by a Patient`

“Consultation Fee”

That part of the Fees referable to the Consultation

“Fee”

The fee charged by the Clinic for the Procedure

“Nurse”

A nurse registered to practice, in the United Kingdom by the Nursing and Midwifery Council

“Patient”

Any person who is at least 18 years of age who has entered or is contemplating entering into a contract with The Clinic for a Procedure

“Patient Advisor”

A Clinic employee responsible for providing the Patient with ongoing information about their surgeon and their procedure

“Pre-operative questionnaire”

The self-assessment Medical Questionnaire provided to to allow the Doctor, Nurse, Practitioner, and any other Team of healthcare professionals as per applicable to assess the Patient physiological suitability for a Procedure

“Procedure”

The surgical or non-surgical procedure to be arranged by The Clinic for a Patient  and  performed  by  a  Doctor, Nurse, Practitioner, and any other Team of healthcare professionals as per applicable

“Procedure Information”

The Procedure Information that is provided to the Patient by The Clinic

“Psychological Screening and Declaration Form”

The Patient self-declaration questionnaire to allow the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable to assess the Patient psychological

suitability and motivations for a Procedure

“Doctor”

A medical practitioner registered to practice in the United Kingdom by the General Medical Council, who is a Fellow of the Royal College of Surgeons (or equivalent non-UK qualification)

  • Satisfy itself that the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable is insured with the Medical Defence Union, the Medical Protection Society, or another insurer or indemnity provider approved by The Clinic, against claims for professional negligence on terms that The Clinic reasonably considers

 

are normal, given prevailing market conditions at the relevant time;

2.1. Ensure that the Procedure is carried out by an appropriately qualified and registered Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable;

  1. The CLINIC’s OBLIGATIONS
    • Satisfy itself that the Clinician holds the necessary qualifications and registrations required for him/her to practice.
    • Provide/arrange suitable facilities for the provision of
    • Provide the Patient with such information as the Patient may reasonably require enabling him/her to understand the nature of the Procedure being offered and to decide whether or not to proceed with a Doctor,

Nurse, Practitioner and any other Team of healthcare professionals as per applicable.

3.         THE PATIENT’S OBLIGATIONS

The Patient shall be responsible for reading and for making sure that they understand the Procedure Information and other information and literature provided prior to consenting to undergo any Procedure, and for complying with all the pre- and postoperative instructions concerning the Procedure supplied by the Clinician and/or The Clinic. The Patient shall also be responsible for returning their Pre-operative questionnaire and Psychological Screening and Declaration Form, a minimum of two weeks before their procedure, and ensuring timely payment for any Procedure received or to be received, in accordance with these Terms and Conditions of Business. It is also the Patient’s responsibility to ask any questions that they may have about the Procedure so as to ensure that they have a full understanding of the Procedure.

4.                      THE DOCTORS/NURSE/PRACTITIONER      AND     ANY     OTHER    TEAM    OF     HEALTHCARE PROFESSIONALS OBLIGATIONS AND THEIR RELATIONSHIP WITH THE CLINIC AND THE PATIENT

  • Any Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable to whom The Clinic refers a Patient for a possible Procedure has a direct professional relationship exclusively with the Patient and is professionally and legally responsible for and accountable directly to the Patient for all Procedures
  • The Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable is also solely responsible for: obtaining consent for the Procedure, including providing the Patient with appropriate clinical information about the Procedure; detailed pre- and post-operative instructions; detailed information about the expected outcome and limits of the Procedure; for advising the Patient about all the risks and possible complications associated with the Procedure; for deciding whether or not the Patient will bene t from and is suitable for the Procedure; and is solely responsible for accepting or rejecting the Patient for a
  • The Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable is solely responsible for the care, and any required after-care of the Patient, including any revision surgery agreed in accordance with the Re- Admission Policy of section 8
  • The Clinic cannot accept any responsibility or liability for matters within the scope of the professional and/or legal responsibility of the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per
  • All Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable are independent contractors in private practice and are not employees of The Clinic. The Clinic will not therefore bear any vicarious liability for any of the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable.

5.    PAYMENTS

  • A consultation with a Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable requires payment of £150 to be received at the time of booking the
  • An additional £500 is required to secure a Procedure
  • The Balance payable for a Procedure must be received at least 30 days before the procedure
  • Where a Procedure date is confirmed within the 30 days period, payment becomes due in full at the point of

6.    CANCELLATION

Cancellation by a Patient

  • All cancellations by a Patient must be communicated by email to the relevant Patient Advisor

 

  • Fees paid for a Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable consultation are fully refundable provided notice of cancellation is received from the patient by The Clinic at least 48 hours prior to the scheduled date of the Consultation, otherwise there will be no refund of the Consultation
  • A Patient has a 14 day cooling o period after the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable consultation, in which they may cancel their Procedure with fees refunded subject to a deduction of £150 relating to the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable consultation plus £150 if pre-operative pathology tests have taken If a Patient elects to waive this

cooling o period (via a signed waiver and as discussed with the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable ) then no fees are refundable upon cancellation

  • Should a Patient wish to cancel a booked Procedure the following schedule of cancellation charges will apply: Date of receipt of written noti cation Cancellation Charge

 

Date of receipt of written notification

Cancellation Charge

If the original postponement takes place 30 days or more prior to the original Procedure date

10% administration fee

Plus £150 if a pre-operative test has taken place

If the original postponement takes place 15 to 29 days before the original Procedure date

50% of total Fee

If the original postponement takes place 14 days or less before the original surgery date

Full Procedure Fee is chargeable

  • The Clinic reserves the right to cancel or postpone a Procedure if, in the opinion of the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable, the Patient is medically un t for treatment or the treatment requested is deemed inappropriate for the Patient and there is no alternative treatment plan to achieve the same purpose. Cancellation of a Procedure by the Surgeon/Anaesthetist:
  • If the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable considers that a postponement of the Procedure is appropriate for medical reasons, a new date for the Procedure will be provided and no postponement charge will be If the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable considers that the Procedure should be cancelled for medical reasons a full refund of

the Fee paid by the Patient will be given less £150 Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable consultation fee plus £300 if any pre-operative tests have taken place.

  • If procedure is cancelled due to the Patient either not informing The Clinic/ the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable of a known existing medical condition/previous history of drugs taken or not following any pre-operative advice provided by the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable or any other Clinician, including an anaesthetist, then non-refundable policy

will apply.

  • The Patient must be prepared to submit to a blood or urine test if requested by the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable , if, in the opinion of the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable or Anaesthetist, the Patient may have recently taken drugs or If the Patient does not wish to submit to a blood or urine test the Doctor, Nurse, Practitioner and any other Team of healthcare

professionals as per applicable may cancel the procedure and the Patient will be subject to the cancellation fees in 6.4 above.

Cancellation by The Clinic

  • The Clinic reserves the right to cancel a Procedure if the balance has not been able to be collected by the due The following charges will apply:

– £200; plus

– £300 if any pre-operative tests have taken place

  • No expenses will be reimbursed by the Clinic in the event of a cancellation by either the Clinic, the Patient or the a Doctor, Nurse, Anaesthetist, Practitioner and any other Team of healthcare professionals as per applicable.

7.    POSTPONEMENT

Postponement by a Patient

  • A Procedure may be postponed for up to 24 (twenty-four) months (if postponed for reason of pregnancy) or 12 (twelve) months for any other medical reason or for any non-medical reason, provided the Fee has been paid in accordance with Section 5. The Clinic will retain all Fees paid for the account of the Patient during the period of postponement. Should the Patient need to postpone treatment, the following schedule of postponement charges

 

will apply. Should the postponement charge not be paid then Fees will be retained as per section 6.4. It is the Patient’s responsibility to reschedule the Procedure. Where a Patient fails to reschedule the Procedure, any Fees paid will not be refundable. Date of receipt of written notification

 

Date of receipt of written notification

Postponement Charge

Over 30 days prior to Procedure date:

No Charge

Between 30 days to 15 days prior to Procedure date

£500

Between 14 days to Procedure date:

£500

under 14 days and 72 hours prior to Procedure date

£3000

Less than 72 hours prior to Procedure date

Full Procedure Fee is chargeable

For non-surgical procedures

Refund Policy: Fees paid are fully refundable provided written notice of cancellation or postponement is received by The Clinic at least 48 hours (from 7am Monday to 6pm Friday) prior to the scheduled date of the Appointment, Treatment or Procedure. If notice of cancellation or postponement of the Appointment, Treatment or Procedure is received less than 48 weekday hours prior to the scheduled date of the Appointment, Treatment or Procedure, there will be no refund of the Fee for that treatment unless the clinic has been successful in filling the treatment time with another patient. If a postponement is subsequently cancelled, the original postponement will be treated as a cancellation.

Notices of Cancellation or Postponement: Notice of cancellation or postponement

of an Appointment, Treatment or Procedure must be submitted in writing by email to a Clinic representative or to admin@zainlondon.com (mailto:admin@zainlondon.com) Refunds of courses of treatment: Where a fee is refundable for a course of treatment, the refund will be calculated on the basis that all received treatments will be charged at the individual treatment price.

Failure to follow advice: Prior to their appointment the patient will be informed of any preparation required in advance of the appointment, treatment or procedure. Failure to follow the guidelines may result in cancellation of the appointment, treatment or procedure, reduced appointment time or additional fees being charged

Non-attendance of appointments: If a patient does not attend a booked appointment and does not give written notice of cancellation or postponement at least 48 weekday hours prior to the appointment, the appointment will be deemed as being fulfilled and no refund or rescheduling will be authorised.

Late Appointments: If a patient is late for an appointment, the Clinic will do our best to fit the patient into a revised schedule, however this cannot be guaranteed due to the impact on other patients. If the appointment does not go ahead due to a patient arrival, this is treated as a cancellation.

Suitability for treatment: The Doctor, Nurse, Practitioner and other Team of healthcare professionals as per applicable will always assess whether treatment is suitable for you or likely to be successful prior to any treatment being carried out. If not the The Doctor,

Nurse, Practitioner and other Team of healthcare professionals as per applicable will inform you as to the reasons why and you will only be liable for the costs of the initial consultation, where applicable.

Expenses: No expenses will be reimbursed by the Clinic in the event of a cancellation by either the Clinic, the Patient or the The Doctor, Nurse, Practitioner and other Team of healthcare professionals as per applicable.

Products: Are non-refundable.

Doctors consultations: A fee will be charged for The Doctors, Nurses, Practitioners and other Team of healthcare professionals as per applicable consultations, including if the patient is rejected for being unsuitable for treatment.

Patient accounts: Payments allocated to a patients account that are unused within 2 years of

payment date will be forfeited.

  • All postponements by a Patient must be communicated by email or letter to the relevant Patient Advisor
  • Unless waived in writing, the Patient has a 14 day cooling o period after the Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per applicable consultation in which they may postpone their Procedure. A charge of £150 relating to the a Doctor, Nurse, Practitioner and any other Team of healthcare professionals as per

 

applicable consultation plus £150 if pre-operative tests have taken place will be made if the Patient subsequently cancels the Procedure. If a Patient elects to waive this cooling of period (via a waiver as discussed with the Surgeon) then no fees are refundable

  • If a Patient postpones then later cancels a procedure, then either the Cancellation Charges in 4 or the following cancellation charges will apply, whichever is higher

 

Date of receipt of written notification

Cancellation Charge

If the original postponement takes place 30 days or more prior to the original Procedure date

10% administration fee

Plus £150 if a pre-operative test has taken place

If the original postponement takes place 15 to 29 days before the original Procedure date

50% of total Fee

If the original postponement takes place 14 days or less before the original surgery date

Full Procedure Fee is chargeable

Postponement of a Procedure by The Clinic

  • The Clinic reserves the right to change the date or venue of your Procedure if that becomes necessary for reasons beyond The Clinic’s control. In such a case, the Patient will not be entitled to any refund, provided, in that event, The Clinic will o er a new date as close to the original date as possible but in any event will o er the Patient alternative dates for the Procedure within eight (8) weeks of the original date booked for the

The Patient will also be free to choose from other available dates beyond the eight (8) week period over the following 12 months, if that is the Patient’s preference. Where it is not possible for The Clinic to accommodate the reschedule within the 8 week period, a refund may be given

8.    RE-ADMISSION POLICY

  • The Surgeons, to whom The Clinic refer Patients for cosmetic surgery, strive to provide Patients with the best possible outcome of their However, the not all cosmetic result cannot be guaranteed, and revision surgery may be necessary, or complications can occur no matter how careful the Surgeon or how good the care. This may be due to a number of factors including but not limited to infection or poor blood circulation, or a

patient’s unpredictable reaction to treatment. In rare cases the Patient may consider that the outcome of their Procedure does not meet the expected result agreed between the Surgeon and the Patient at the Consultation. In those situations, consideration will be given to the possibility of improving the result through further surgery. Further surgery on the Patient’s postoperative presenting condition will only be carried out at the discretion of the Surgeon who performed the Procedure. If the Surgeon deems that further surgery is necessary in order to improve the result of the original Procedure which is not, in the opinion of the Surgeon, in line with the expected result agreed between Surgeon and Patient at the time of Consultation, then The Clinic will provide all surgical and hospital services for this re-admission free of charge to the Patient. Should the Patient request any other additional revision surgery this will be provided at a cost to the Patient. If, however, the Surgeon decides that the results of a Procedure are acceptable and within the normal limits and known risks of surgery, then our normal charge, less 10%, will be made for further surgery but such further surgery will only be offered if the Surgeon considers it to be beneficial and in the Patient’s best interests. Should the Patient request any further revision surgery on this basis this will be provided at the normal price to the Patient less 10%.

This readmission policy is subject to the following provisos:

  • The Patient must have expressed his/her dissatisfaction with the outcome to The Clinic in writing and been examined at The Clinic by the Patient’s operating Surgeon in this context within one year of the date of the original Procedure
  • In order for revision surgery to be carried out free of charge the Surgeon and the Medical Director of The Clinic (or a third party independently appointed by the Registered Officer should the Medical Director have carried out surgery him or herself) must agree that the outcome of the Procedure did not meet the expected result and that any complication is directly related to the original Procedure and not accepted as a recognised

consequence of that treatment or the patient’s underlying medical condition

  • In cases where the results of the Procedure originally provided have, in the opinion of the Surgeon, been compromised by lifestyle (including but not limited to smoking, alcohol, drug use, weight gain or exposure to the sun), illness, the natural ageing process or by any failure of the Patient to fully adhere to the instructions,

recommendations or advice of the Surgeon regarding postoperative appointments or care and lifestyle, The Clinic cannot commit to providing revision surgery at special rates.

  • In the case that the result of the surgery is due to any known risk, that has been discussed before surgery including but not limited to keloid or hypertrophic scarring, The Clinic cannot commit to providing revision surgery at special rate. The Patient can take a preoperative genetic test for patients who wish to know if they are prone to poor scarring.The Harley Surgical Group Scar Management treatment for a fee

 

  • The Surgeon who provides the Procedure is responsible for the outcome of that If the original operating Surgeon is not available, it may not be possible for another Surgeon willing to undertake revision surgery free of charge, in which case The Clinic reserves the right to review the basis, if any, upon which any additional surgery is provided.
  • The Clinic will not o er refunds for a patient unhappy with the outcome of a Procedure, or in any other circumstances, other than at the absolute discretion of The Clinic
  • If a patient has had previous surgery with a third party and attends The Clinic for revision surgery then this and, any further revision surgery, will be at The Clinic’s current normal
  • In the event of revision surgery being cancelled or postponed by The Patient for non-medical reasons or due to the Patient either not informing The Clinic/ the Surgeon of a known existing medical condition/previous history of drugs taken or not following any pre-operative advice provided by the Surgeon or any other Clinician, including

an anaesthetist within 4 weeks of the operation date, no further free-of-charge revision will be o ered and The Patient will pay normal The Clinic prices if the surgery is rescheduled.

Procedures with Breast Implants

  • If, within three years of the initial surgery, the operating surgeon believes that a Baker Grade III or IV capsular contracture or rupture is present, a Patient may be readmitted for remedial treatment at no cost to the Should any further capsular contracture or rupture take place any further remedial surgery will be

chargeable at The Clinic’s list price less 10%. A rupture must be con rmed by a radiologist’s report and approved by the director of The Clinic.

  • Any payment due to the Patient as a result of a manufacturer warranty will be paid by the manufacturer to The Clinic and act as partial payment towards the readmission costs of the patient; except within the rst three years of the original Procedure whereby this payment will cover the full readmission costs of the The manufacturer warranty is only valid when remedial surgery is performed by The Clinic unless the manufacturer

warranty specifically state otherwise.

Rhinoplasty Procedures

  • Following rhinoplasty surgery, additional surgery is commonly required to achieve the desired aesthetic result. This is not classed as revision surgery and is instead subject to a 10% discount to the list price, at the Clinic’s sole discretion, should it be required

9.    COMPLAINTS

  • In the event that the Patient is dissatisfied with any aspect of the service provided, the Patient should speak to their Patient Advisor as soon as If they are unable to resolve the complaint to the reasonable satisfaction of the Patient, The Clinic’s Complaints Procedure – Patient Guide shall apply.

10.     CONFIDENTIALITY AND DATA PROTECTION

  • The Clinic processes data relating to Patients in connection with the Procedure provided to those Patients in accordance with these Terms and
  • The Clinic wishes to disclose Patient data to Clinicians in the course of the Procedure and the Patient’s consent to such disclosure is considered essential to the
  • The Patient is deemed to consent to the disclosure of sensitive personal data by The Clinic to Clinicians for the purposes of discussing the Patient’s
  • The Patient acknowledges that The Clinic is obtaining this consent for themselves in order that they may comply with the provisions of the Data Protection Act
  • Other than these disclosures, or as required by law, The Clinic will not disclose Patients’ sensitive personal data to third parties.

11.     NO VARIATION

  • There can be no variation or exceptions to these Terms and Conditions unless agreed in writing and countersigned by a Director of The Clinic. The Clinic reserves the right to amend, change or delete such terms and conditions as it deems

12.     LEGAL JURISDICTION

 

  • The services provided by The Clinic and by Clinicians shall be governed by the laws of England and Wales, whose courts shall have exclusive

Date:                                  

 

 

I agree to the Terms and Conditions

 

By signing below, I hereby acknowledge that I have completely read and agree the above terms and conditions.