Extract from the organisational regulations

Extract from the organisational regulations

ORGANISATIONAL REGULATIONS OF THE MEDICAL ENTITY KLINIKA PHLEBOLOGII SP. Z O.O.

- EXTRACT -

These rules and regulations set out the principles for the performance of therapeutic activities by the therapeutic entity under the name of Klinika Phlebologii spółka z ograniczoną odpowiedzialnością with its registered office in Warsaw.

These Rules constitute the organisational rules of the medical entity within the meaning of Article 24 of the Act of 15 April 2011 on medical activity (consolidated text, Journal of Laws of 2022, item 633, as amended).

§ 1 GENERAL PROVISIONS

  1. The entity conducting medical activities is Klinika Phlebologii spółka z ograniczoną odpowiedzialnością with its registered office in Warsaw, ul. Wawelska 5, 02-034 Warsaw, holding tax identification number (NIP): 7010498962 and REGON: 362159728, entered in the register of entrepreneurs kept by the District Court for the capital city of Warsaw in Warsaw, XII Economic Division of the National Court Register under KRS number: 0000568625 ("Treatment Entity").
  2. The Medical Entity is registered in the Register of Entities Performing Medical Activities kept by the Mazovian Governor (W-14) with the registration book number 000000179794.
  3. The Treatment Entity carries out therapeutic activities of the type:
    1. outpatient health care services; the above activities are carried out within the medical establishment Centrum Medyczne Klinika Phlebologii, 5 Wawelska St., 02-034 Warsaw, REGON: 362159728-00011;
    2. stationary and round-the-clock health care services; the aforementioned activity is carried out within the medical facility CM Klinika Phlebologii, ul. Wawelska 5, 02-034 Warsaw, REGON: 362159728-00029.
  4. The Treatment Entity operates on the basis of:
    1. Act of 15 April 2011 on therapeutic activity (consolidated text Dz.U. of 2022, item 633, as amended);
    2. these Rules.
  5. These rules and regulations apply to all persons employed by or working with the Medical Entity, in particular persons providing health services in the course of the Medical Entity's activities, regardless of the basis of employment or relationship, as well as patients of the Medical Entity.
  6. The phrases used in these regulations mean:
    1. "Manager" - the manager of the Medical Entity within the meaning of the Medical Activities Act, i.e. the Management Board of the company under the name of Klinika Flebologii sp. z o.o. with its registered office in Warsaw;
    2. "Patient" - a person who requests or uses Health Services provided by a Healthcare Provider;
    3. "Treatment Entity" - Klinika Phlebologii spółka z ograniczoną odpowiedzialnością with its registered office in Warsaw, ul. Wawelska 5, 02-034 Warsaw, holding tax identification number (NIP): 7010498962 and REGON: 362159728, entered in the register of entrepreneurs kept by the District Court for the capital city of Warsaw in Warsaw, XII Economic Division of the National Court Register under the KRS number: 0000568625, entered in the Register of Entities Performing Medical Activities kept by the Mazovian Governor (W-14) under the registration book number 000000179794;
    4. "Specialist Outpatient Clinic" or collectively "Specialist Outpatient Clinics" - the organisational unit of a medical establishment in which Health Services are provided in accordance with the specialisation of the organisational unit;
    5. "Regulations" - these organisational rules of the treatment entity;
    6. "Health Benefit" or "Benefits" - activities aimed at preserving, saving, restoring or improving health, as well as other medical activities resulting from the treatment process or separate regulations governing their performance.

§ 2. GENERAL OBJECTIVES AND TASKS OF THE TREATMENT ENTITY

  1. The Treatment Entity pursues its aims and objectives by providing medical care to Patients in accordance with applicable regulations and standards. The Treatment Entity guarantees that:
    • (a) The services shall be provided by health professionals with the appropriate authorisation and qualifications;
    • (b) the premises of the Treatment Centre comply with all professional and sanitary requirements and are equipped with apparatus and other equipment with the relevant certificates, attestations obtained in accordance with the mandatory provisions of law and current inspections carried out by authorised services;
    • (c) apparatus and other devices are placed on the market and used in accordance with the regulations in force.

§ 3 TYPE OF TREATMENT ACTIVITY AND SCOPE OF SERVICES PROVIDED BY THE TREATMENT PROVIDER

  1. The scope of Healthcare Services provided by the Healthcare Provider in the field of phlebology and angiology includes activities aimed at preserving, saving, restoring or improving health, as well as other medical activities resulting from the treatment process or separate regulations governing their performance.
  2. The Treatment Entity carries out therapeutic activities of the type:
    1. ambulatory health care services; the aforementioned medical activity is carried out within the medical establishment Centrum Medyczne Klinika Phlebologii, ul. Wawelska 5, 02-034 Warsaw, REGON: 362159728-00011;
    2. stationary and round-the-clock health care services with the intention to complete them within a period not exceeding 24 hours; the aforementioned medical activity is carried out within the medical facility CM Klinika Phlebologii, 5 Wawelska Street, 02-034 Warsaw, REGON: 362159728-00029.
  3. Health services are provided at the treatment facilities located in Warsaw (02-034) at 5 Wawelska Street, from Monday to Saturday, during the following hours:
    1. poniedziałek-piątek: 8:00-20:00;
    2. Saturday: 8:00-16:00;
      according to the agreed work schedule.
  4. Within the scope of the Terms and Conditions, Health Services are provided by means of distance communication, i.e. the website of the Healthcare Provider.

§ 5 GENERAL PRINCIPLES OF PROVIDING HEALTH SERVICES

  1. Health Services are provided in the Treatment Facility and, to the extent specified in these Rules, also by means of distance communication, i.e. via the website of the Treatment Facility.
  2. The Health Care Provider shall organise the provision of Health Care Services, ensuring appropriate accessibility and quality of the Services, in the organisational units of the Health Care Provider in a manner that guarantees the most convenient form of use.
  3. The Healthcare Provider shall ensure that Health Services are provided with due diligence, in accordance with current medical knowledge and with respect for the Patient's rights.
  4. Health services are provided by medical professionals who have the professional qualifications required by separate regulations, confirmed by relevant documents, as well as an appropriate state of health.
  5. The Treatment Provider shall provide the following to the Patient used during the provision of the Benefit: medicinal products, medical devices and equipment necessary for the provision of the Benefit. The Treatment Provider shall ensure that the materials, devices and equipment used during the provision of the Benefit have been placed on the market and are in the possession of the Treatment Provider in a lawful manner and are used in accordance with the relevant instructions. The Treatment Provider shall be responsible for the condition of the equipment and devices used during the provision of the Benefit, as well as the equipment of the Treatment Provider.
  6. Health services are provided to commercial patients without referral.
  7. Health Services are provided to Patients respecting the principles of equal and fair access and in accordance with medical criteria.
  8. Health Services are provided on fixed dates, after booking. The dates for the provision of the Services are agreed with the Patient on an individual basis, taking into account, inter alia, the order in which the Patient requests them, the availability of staff and the schedule for the provision of the Health Services.
  9. The payment of charges for the Services shall not affect the established sequence and schedule of the Health Services.
  10. The Patient shall book an appointment in person at the premises of the Treatment Provider, by telephone or electronically to the e-mail address indicated by the Treatment Provider.
  11. The Patient may cancel or postpone a booked appointment by 4 p.m. on the day preceding the day of the booked appointment at the latest. In the case of a Patient's failure to cancel (postpone) an appointment within the aforementioned time limit, the Treatment Facility has the right to keep the deposit paid by the Patient, unless the Patient's absence is caused by force majeure circumstances, which shall be understood as a sudden deterioration of health condition confirmed by relevant medical documentation or a doctor's certificate making it impossible to cancel an appointment on time and documented circumstances of similar importance. In the situation referred to in this paragraph 11, the deposit shall not be credited towards payment for the Service provided to the Patient at a later date.
  12. On the date agreed with the Patient on which the Service is to be provided, the Patient is obliged to arrive at the registration desk of the Healthcare Facility at least 20 minutes before the agreed time of visit - in the case of the first visit, and at least 10 minutes before the agreed time of visit - in the case of subsequent visits. If the Patient is late, the agreed time for the provision of the Service shall not be extended, in particular the time for consultations. If the Patient is more than 10 minutes late, the Treatment Provider is entitled to refuse to provide the Service. If this applies to a Patient who has paid a deposit for a Service, the Treatment Provider is entitled to keep the aforementioned deposit, which will also not be credited towards payment for the Service provided to the Patient at a later date.
  13. Prior to the scheduled appointment, the Treatment Provider will attempt to contact the Patient by telephone to confirm the appointment. If the attempt to contact the Patient fails, the Patient will receive an SMS message to the telephone number provided by them with a request to confirm or cancel the visit until 4 p.m. on the day preceding the date of visit, unless the message to the Patient indicates a different date. If the appointment is not confirmed on time, the appointment may be cancelled by the Treatment Provider for reasons attributable to the Patient.
  14. The patient enters the surgery when called by the doctor or nurse.
  15. The personal details (name and surname) of the medical staff delegated to provide the Service are on the personal badges.
  16. The Patient's legal representative or actual guardian is obliged to remain in the treatment facility while the Patient is receiving the Service.
  17. If it is not possible to provide the Service on the date agreed with the Patient, the Treatment Provider will immediately contact the Patient by telephone to arrange an alternative date for the Service.
  18. The Healthcare Provider may refuse to provide a Benefit if:
    1. The patient or the patient's legal representative refuses to consent to the Provision of the Service or the consent given does not meet the requirements of the law;
    2. The patient is ineligible for the Benefit, as determined by a doctor or nurse;
    3. The Patient is in a state that makes it impossible to provide the Service, e.g. under the influence of alcohol or drugs or due to grossly poor hygiene (this does not apply to situations of immediate danger to the Patient's life or health);
    4. The patient did not follow the doctor's instructions, e.g. did not perform or submit for review the relevant diagnostic tests, or did not perform them on time;
    5. The Patient has not paid for the Benefit, except where payment after the Benefit has been provided has been agreed with the Patient;
    6. The Treatment Provider is not in a position to verify the identity of the Patient;
    7. it is not possible to provide the Service for other reasons, including sanitary and epidemiological reasons, including those related to the need to ensure appropriate safety of the Treatment Provider's staff and other Patients.
  19. Before the provision of a Service, the Patient or his/her legal representative shall be informed about the diagnosis, proposed and possible diagnostic and therapeutic methods, foreseeable consequences of their application or omission and prognosis, as well as about the Service, principles of its provision, possible consequences of its provision, including complications. The Patient or his/her legal representative, and with consent of the Patient also another person, shall have the right to be informed about his/her health condition also in the course of providing a Service (if its character allows it) and after its provision. On the basis of the information obtained, the Patient gives his/her written informed consent for the provision of the Service. Lack of the Patient's consent is tantamount to refusal to provide the Benefit.
  20. Prior to the provision of the Benefit, the Patient shall make the following statements in writing or electronically:
    1. consent to the provision of the Benefit;
    2. a statement of the authorisation or lack of authorisation of a specific person to obtain information on the patient's health;
    3. a statement whether or not a specific person has been authorised to have access to the patient's medical records;
    4. information on the processing of personal data;
    5. other documents required for the provision of the Benefit.
  21. The Treatment Entity provides Health Services in the form of issuing e-prescriptions also by means of distance communication, i.e. via the website of the Treatment Entity. The e-prescription ordering service via the website of the Treatment Provider is available to Patients who have a patient card at the Treatment Provider and who have been assigned an attending physician. The order can only relate to medicinal products continuously taken by the Patient, the use of which is based on his/her previous medical history. The Treatment Entity may refuse to issue an e-prescription if the order does not meet the above requirements.
  22. The e-prescription is issued electronically and can be filled by the Patient at the pharmacy after providing the Patient's PESEL number and the e-prescription access code. The e-prescription access code will be sent to the Patient by SMS to the telephone number indicated by the Patient (the Patient's telephone number to which the code will be sent is the telephone number indicated by the Patient in the Patient's chart forming part of the medical records).
  23. The e-prescription is issued upon receipt of confirmation of payment of the service price.

§ 6 PRINCIPLES OF PAYMENT FOR SERVICES

  1. The Healthcare Provider provides Healthcare Services on a fee-for-service basis.
  2. Prior to the provision of the Benefit, the Patient shall be informed of the fee for the Benefit. The fee for a Benefit is determined in accordance with the price list of health services applicable at the Health Care Provider on the date of rendering the Benefit. The price list for the provision of health services is attached as Appendix 1 to these Rules. The Health Care Provider has the right to change the price list of providing health care services at any time. The change of the price list does not require justification and is made by publishing the new price list.
  3. The fee for a Benefit may vary depending on the Patient's medical condition, the complexity of the Benefit, the number of people involved and the length of the Patient's stay at the Treatment Facility before or after the Benefit.
  4. The Treatment Provider may collect a deposit from the Patient towards the price of the Service. The amount of the deposit shall be determined by the Treatment Provider. Notwithstanding the above, a deposit in the amount of 50% of the price of the Service shall be collected from a Patient who fails to appear at the Treatment Provider on the agreed date of rendering the Service or fails to cancel the visit within the time limit specified in §5 section 11 of these Regulations, except in the case of force majeure circumstances, which shall be understood as a sudden deterioration of health condition preventing timely arrival at the Treatment Provider or documented circumstances of analogous importance, confirmed by relevant medical documentation or a doctor's certificate.
  5. The Patient is obliged to pay the deposit for the price of the Provision within the deadline indicated by the Treatment Provider, and if the Treatment Provider does not indicate this deadline, within 5 working days of booking the date of the Provision. Within the aforementioned deadline, the Patient is obliged to send the Treatment Entity a confirmation of the transfer to the indicated e-mail address. Failure by the Patient to pay the deposit on time or to send the transfer confirmation on time means that the Patient resigns from the Service.
  6. The deposit shall be reimbursed to the Patient in case of the Patient's resignation from the Service at least 5 working days before the agreed date of rendering the Service and notifying the Treatment Provider thereof, and in case of booking an appointment (medical consultation), if the deposit has been collected, in case of resignation from the Service within the time limit specified in § 5, item 11 of the Regulations. The time limit referred to in the preceding sentence shall be deemed to have been met if the Treatment Provider receives notice of resignation from the Provision before its expiry.
  7. The deposit shall be retained in the event that it is not possible to provide the Service for reasons attributable to the Patient, in particular the Patient's failure to perform the tests ordered for him/her, failure to provide the results of these tests to the Treatment Provider at least 5 working days before the planned date of providing the Service, the Patient's failure to follow medical recommendations (e.g. failure to take anticoagulants), failure to pay the fee for the Service before it is provided, failure to appear at the Treatment Provider on the agreed date of providing the Service.
  8. In the case of Health Services in the form of venous interventions, booking a date for providing the Service takes place upon payment by the Patient of a non-refundable preparation fee of PLN 1,000.00 for interventions whose price amounts to at least PLN 4,000.00 and no more than PLN 9,000.00 and PLN 2,000.00 for interventions whose price amounts to at least PLN 9,000.00. The preparatory fee referred to hereinabove serves to cover initial costs incurred by the Health Care Provider for the provision of the Service that are required at the moment of confirming the date of its provision, including, without limitation, the fee for reserving the treatment room, costs of ordering medicinal products and medical devices dedicated to the Patient, remuneration "for readiness" of the medical personnel, remuneration of the medical personnel for the preparation of the plan for the provision of the Service and preparation for its provision, etc. If a Benefit is provided to the Patient, the preparation fee shall be credited against the price of the Benefit. However, in case of failure to provide a Benefit to the Patient, except for the case when the failure to provide the contract is due to the fault of the Treatment Provider, the Treatment Provider shall waive the provision of the Benefit and retain the preparation fee, which serves entirely to cover the initial costs of providing the Benefit referred to in this paragraph 8. The preparatory fee should be paid by the Patient within 2 working days (in case of preparatory fee amounting to PLN 1,000.00) or 5 working days (in case of preparatory fee amounting to PLN 2,000.00) after the initial booking of the date for providing the Benefit referred to in this paragraph 8, to the account number indicated by the Treatment Provider or at the registration of the Treatment Provider. In the case of payment to the account number of the Treatment Entity, within the time limit referred to above, the Patient is obliged to send a confirmation of the transfer to the indicated e-mail address. If the Patient does not pay the preparation fee within the aforementioned time limit, the initial booking is automatically cancelled.
  9. The Patient shall pay for the Benefit before it is provided, unless otherwise agreed with the Patient. In the case of Services with a unit price of PLN 4,000.00 or more, the Patient is obliged to make full payment for the Service no later than 2 working days before the date of providing the Service and, within this period, send the Treatment Entity a confirmation of the transfer to the e-mail address indicated by the Patient, unless otherwise agreed with the Patient at least in documentary form. If payment is not made, the Treatment Provider shall be released from its obligation to provide the Service and shall be entitled to retain the deposit or preparation fee towards the price of the Service, which has been paid by the Patient in accordance with paragraph 4 or paragraph 8 above.
  10. The Treatment Provider shall document the provision of the Service by means of a bill or invoice, in accordance with the relevant regulations.

§ 7 ORGANISATIONAL STRUCTURE OF THE MEDICAL CENTRE PHLEBOLOGY CLINIC

  1. The following organisational units operate within the treatment facility of the Medical Centre Phlebology Clinic:
    1. phlebology clinic (1120);
    2. general ultrasound diagnostics (7210);
    3. surgical clinic (1500).
  2. The tasks of the organisational units of the treatment facility Medical Centre Phlebology Clinic include:
    1. the performance of the tasks of the Treatment Entity and the purpose for which it was established;
    2. to provide healthcare services in the field of outpatient phlebology and angiology in accordance with current legislation, taking into account the highest standards, indications of current medical knowledge and respect for patients' rights.
  3. In order to ensure the proper functioning of the medical establishment of the Medical Centre Clinic of Phlebology and the continuity and regularity of the provision of Health Services, the organisational units of the medical establishment of the Medical Centre Clinic of Phlebology, when performing the tasks assigned to them, cooperate with each other and also cooperate with the organisational units of the medical establishment CM Clinic of Phlebology.

§ 9 ORGANISATIONAL STRUCTURE OF THE TREATMENT FACILITY CM PHLEBOLOGY CLINIC

  • The following organisational units operate within the treatment facility CM Clinic of Phlebology:
    1. interventional radiology laboratory (7230);
    2. one-day treatment unit (4670);
    3. pharmacy department (4924).
  • The tasks of the organisational units of the treatment facility CM Clinic of Phlebology include:
    1. the performance of the tasks of the Treatment Entity and the purpose for which it was established;
    2. the provision of health services in accordance with current legislation, taking into account the highest standards, indications of current medical knowledge and respect for patients' rights.
  • The basic tasks of the various organisational units of the treatment facility CM Clinic of Phlebology are indicated in the following section.
  • In order to ensure the proper functioning of the medical establishment CM Clinic of Phlebology and the continuity and regularity of the provision of Health Services, the organisational units of the medical establishment CM Clinic of Phlebology, when performing the tasks assigned to them, cooperate with each other and also cooperate with the organisational units of the medical establishment Medical Centre Clinic of Phlebology.

§ 13 KEEPING AND MAINTAINING MEDICAL RECORDS

  1. The Treatment Entity shall maintain and store medical records in accordance with the principles set out in legislation, in particular the Patients' Rights Act. The Treatment Entity shall provide measures to keep medical records confidential and to protect them from destruction and access by undesired persons.
  2. Persons providing Health Services, as well as other employees and associates of the Healthcare Provider, shall keep medical records on an ongoing basis with due diligence.
  3. The Treatment Entity shall keep medical records for a period of 20 years, counting from the end of the calendar year in which the last entry was made, except:
    1. medical records in the event of the patient's death as a result of injury or poisoning, which shall be kept for a period of 30 years from the end of the calendar year in which the death occurred;
    2. medical records containing the data necessary to monitor the fate of blood and its components, which shall be kept for a period of 30 years from the end of the calendar year in which the last entry was made;
    3. X-rays stored outside the patient's medical records, which are kept for a period of 10 years from the end of the calendar year in which the image was taken;
    4. examination referrals or doctor's orders, which are kept for a period of time:
      • 5 years, counting from the end of the calendar year in which the Health Service that is the subject of the doctor's referral or order was provided;
      • 2 years, counting from the end of the calendar year in which the referral was issued, if the Health Service has not been provided due to the Patient's failure to register within the established time limit, unless the Patient has collected the referral;
    5. medical records of children up to the age of two, which are kept for a period of 22 years.
  4. After the expiry of the periods referred to in paragraph 3 above, the Treatment Provider shall destroy the medical records in a manner that makes it impossible to identify the Patient to whom they pertained. Medical records to be destroyed may be released to the Patient, his/her legal representative or a person authorised by the Patient.
  5. After the expiry of the periods referred to in paragraph 3 above, the relevant provisions of the Act of 14 July 1983 on the national archival resource and archives shall apply to the handling of medical records which are archival material within the meaning of the Act of 14 July 1983 on the national archival resource and archives.

§ 14. MAKING MEDICAL RECORDS AVAILABLE

  1. The Treatment Provider shall make the medical records available:
    1. a) To the patient;
    2. (b) the Patient's legal representative;
    3. (c) a person authorised by the patient.
  2. After the Patient's death, medical records shall be made available to the person authorised by the Patient during his/her lifetime or to the person who was his/her legal representative at the time of the Patient's death. Medical records shall also be made available to a relative, unless the release is opposed by another relative or opposed by the Patient during his/her lifetime.
  3. In addition to the persons mentioned in paragraphs 1 and 2 above, medical records shall also be made available:
    1. providers of Health Services, if the documentation is necessary to ensure the continuity of the Health Services;
    2. public authorities, including the Patient Ombudsman, the National Health Fund, bodies of the self-government of medical professions and consultants in health care, as well as the Psychiatric Hospital Patient Ombudsman, to the extent necessary for the performance by these bodies of their tasks, in particular supervision and control;
    3. entities referred to in Article 119 (1) and (2) of the Act on medical activity, i.e. entities commissioned by the minister in charge of health to carry out control to the extent necessary to carry out this control;
    4. Medical Research Agency within the scope of the Act of 21 February 2019 on the Medical Research Agency;
    5. to the minister responsible for health, courts, including disciplinary courts, prosecutors, medical practitioners and ombudsmen for professional liability in connection with the proceedings;
    6. bodies and institutions authorised under separate acts, if the examination was carried out at their request;
    7. disability authorities and Disability Assessment Boards in connection with their proceedings;
    8. entities maintaining registers of medical services, to the extent necessary to maintain the registers;
    9. to insurance companies, with the consent of the patient;
    10. to medical commissions subordinate to the minister in charge of internal affairs, to military medical commissions and to medical commissions of the Internal Security Agency or the Intelligence Agency subordinate to the heads of the relevant Agencies;
    11. medical professionals, in connection with the conduct of an assessment procedure of a healthcare provider under the provisions on accreditation in health care or a procedure for obtaining other quality certifications, to the extent necessary for their conduct;
    12. the provincial commission for adjudication of medical events, within the scope of its proceedings;
    13. heirs in respect of proceedings before the provincial commission for adjudication of medical events;
    14. persons carrying out control activities on the basis of the Act of 28 April 2011 on the Health Information System, to the extent necessary to carry them out;
    15. members of the hospital infection control teams referred to in the Act of 5 December 2008 on the prevention and control of infections and infectious diseases in humans, to the extent necessary for the performance of their tasks.
  4. Medical records may also be made available to a university or a research institute for use for scientific purposes, without disclosing the name or other data enabling the person concerned to be identified.
  5. A request for medical records may be made orally or in writing. A written request can be made at the registration of the Medical Entity, by post to the address of the Medical Entity or by email.
  6. Medical records shall be made available to an authorised person without undue delay, in a manner that ensures confidentiality and protection of personal data.
  7. The Treatment Entity may refuse to provide access to medical records if an unauthorised person requests it. The refusal to provide access to medical records shall be made in writing and requires justification. The same applies if the release of medical records is not possible.
  8. Medical records are made available:
    1. for inspection, either at the place where the Health Services are provided, with the exception of emergency medical treatment, or at the premises of the entity providing the Health Services, ensuring that the Patient or other authorised persons can take notes or photographs;
    2. by producing an extract, a copy or a printout thereof;
    3. by issuing the original against acknowledgement of receipt and subject to return after use, at the request of public authorities or common courts, and where delay in the release of the documentation could cause a risk to the Patient's life or health. In the case referred to above, the Treatment Entity shall make and keep at the Treatment Entity a certified copy or photocopy of such documentation, unless this is not possible, in particular due to a risk to the Patient's life or health;
    4. by electronic means of communication;
    5. on a computerised data carrier.
  1. Medical records kept in paper form may be made available by making a copy in the form of a digital reproduction (scan) and transmitted by means of electronic communication or on a computer data carrier, at the request of the Patient or other authorised bodies or entities.
  2. The Healthcare Provider maintains a list of the medical records provided in accordance with the requirements of the Patients' Rights Act.

§ 15 FEES FOR ACCESS TO MEDICAL RECORDS

  1. The Treatment Entity makes medical records available in the manner indicated in § 14, section 8, subsections b) and e) and section 9 for a fee. The fee is determined in accordance with the price list for providing access to medical records in force in the Treatment Entity on the date of submitting an application for access to the records. The price list for making medical records available is enclosed as appendix 2 to the Rules and Regulations.
  2. The fee referred to in paragraph 1 shall not be charged where medical records are made available:
    1. to the Patient or his/her legal representative for the first time to the extent and in the manner referred to in § 14 (8) (b) and (e) and (9) of the Rules;
    2. in connection with proceedings before the provincial commission for adjudication of medical events.

§ 16 PROCEEDINGS IN THE EVENT OF THE PATIENT'S DEATH

  1. In the event of deterioration of the Patient's health condition causing a threat to life or in the event of the Patient's death, the Treatment Entity shall immediately notify the person or institution designated by the Patient or the Patient's legal representative.
  2. Taking into account the scope of Health Services that are provided at the CM Clinic of Phlebology and the intention to complete them within a period not exceeding 24 hours, the Treatment Provider does not foresee the need to store the Patient's corpse and therefore waives the fee schedule referred to in Article 24 (1) (11) of the Act on Medical Activities.

§ 18 RIGHTS AND OBLIGATIONS OF THE PATIENT

  1. The patient receiving healthcare provided by the healthcare facility shall have the rights provided by law, in particular by the Act on Patients' Rights.
  2. A list of patients' rights is available for inspection at the registration of the Treatment Provider.
  3. The Patient undertakes to comply with the Rules and Regulations and all internal acts in force at the Treatment Facility.
  4. The patient is obliged in particular to:
    1. respect for property owned by the Healthcare Provider;
    2. respect the rights of third parties on the premises of the Healthcare Provider (Patients and Healthcare Provider staff and associates);
    3. comply with the ban on entering the premises where the Health Services are provided or other premises marked with a ban on entering sign;
    4. to maintain cleanliness on the premises of the treatment facility and other facilities belonging to the Treatment Entity;
    5. cultural behaviour on the premises of the treatment facility and other facilities belonging to the Treatment Facility.
  5. Patients are prohibited from consuming alcohol, using narcotics or smoking tobacco products on the premises of the Treatment Facility and other facilities belonging to the Treatment Facility.
  6. In the event that the Patient's culpable actions result in damage to the Treatment Provider's property, the Patient may be charged for the cost of repair.

§ 20 VIDEO SURVEILLANCE

  1. In order to ensure the safety of persons in the Treatment Facility and other facilities belonging to the Treatment Facility, in particular Patients and employees of the Treatment Facility, and to safeguard the property of the Treatment Facility, the public areas of the Treatment Facility are covered by permanent video surveillance.
  2. Video surveillance covers the following parts of the Treatment Entity's premises:
    1. the entrance to the Treatment Facility;
    2. traffic routes;
    3. registration;
    4. waiting room.
      The parts of the Treatment Entity covered by video monitoring are marked with appropriate signs indicating the use of monitoring.
  3. The controller of the personal data processed in connection with the use of video surveillance to which this § 20 applies is the Treatment Provider.
  4. Personal data in the form of images of persons on the premises of the Treatment Facility are recorded by cameras recording images continuously. The cameras do not record sound. Access monitoring records the entrances and exits of authorised persons.
  5. Personal data processed in connection with the use of video surveillance shall be kept confidential and protected from unauthorised access by third parties in accordance with the principles set out in applicable legislation.
  6. Personal data will only be made available to entities entitled to receive such data on the basis of applicable law.
  7. Personal data will not be transferred to a third country or international organisation.
  8. Video surveillance data will be stored for a period of 3 months.
  9. Anyone affected by personal data processed in connection with the use of video surveillance shall have the rights referred to in § 19(7)-(8) of the Regulations.
  10. Monitoring data will not be used to make automated decisions and will not be used for profiling purposes.
  11. The provision of personal data in the form of an image is necessary for technical reasons to stay on the premises of the Treatment Facility.

§ 21 COMPLAINTS PROCEDURE

  1. The Patient has the right to lodge a complaint about the manner in which he/she has been provided with a Health Service or about the Healthcare Provider's performance of other obligations incumbent on the Healthcare Provider.
  2. A complaint can be made in writing by sending it to the address of the Treatment Provider or by e-mail to rejestracja@klinikaflebologii.pl.
  3. The complaint should indicate the Patient's contact details, in particular his/her name, correspondence address or e-mail address, the subject of the complaint and its justification, as well as the Patient's allegations and demands. A complaint that does not contain the above data will not be considered.
  4. The Treatment Provider shall consider the complaint within 30 days from the date of receipt of the data indicated in paragraph 3 above. The complaint will be answered in a form appropriate to the form in which the complaint was submitted.

§ 22 FINAL PROVISIONS

  1. The Regulations have been given to the Medical Entity by the Manager.
  2. The Treatment Facility reserves the right to amend the Rules and Regulations. Amendments shall be made by the Manager in writing by publishing the new Rules and Regulations on the website of the Treatment Entity and in any other place where the amended version of the Rules and Regulations was available.
  3. Matters not covered by these Rules shall be governed by the provisions of applicable Polish law, in particular the Act on Health Care Activities and the Act on Patients' Rights.
  4. The Regulations shall be made available to Patients by making an extract of the Regulations available, upon request by the Patient, at the registration of the Treatment Facility, as well as on the website of the Treatment Facility.
  5. The Rules and Regulations will be communicated to all employees and associates of the Treatment Entity.
  6. The regulations come into force on 14 March 2024.
  7. Part of the Regulations are:

(a) the price list for the provision of health services - Annex 1;

(b) a price list for the provision of medical records - Annex 2.