ORGANISATIONAL TERMS AND CONDITIONS OF THE MEDICAL ENTITY KLINIKA FLEBOLOGII SP. Z O.O. (LTD.)

- EXTRACT -

These organisational terms and conditions define the rules for the performance of medical activity by Klinika Flebologii spółka z ograniczoną odpowiedzialnością (Ltd.) with its principal office in Warsaw.

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

§ 1.    GENERAL PROVISIONS

1.         Klinika Flebologii sp. z o.o., (Ltd.) with its principal office in Warsaw, 5 Wawelska St., 02-034 Warsaw, Poland, tax identification No. (NIP): 7010498962, REGON No.: 362159728, registered in the register of entrepreneurs kept by the District Court for the Capital City of Warsaw in Warsaw, XII Commercial Division of the National Court Register under company registration No.: KRS 0000568625 is an entity performing medical activity (“Medical Entity”).

2.         Medical Entity is registered in the Register of Entities Performing Medical Activity, kept by the Voivode of the Masovian (W-14) under registration number 000000179794.

3.         Medical Entity performs medical activities of the type:

a)         outpatient health care services, performed within the medical facility Centrum Medyczne Klinika Flebologii, 5 Wawelska St., 02-034 Warsaw, REGON No.: 362159728-00011;

b)         inpatient and round-the-clock health care services, performed within the medical facility CM Klinika Flebologii, 5 Wawelska St., 02-034 Warsaw.

5.         The Medical Entity activity is based on the following:

a)         the Act of 15 April 2011 on medical activity (Journal of Laws of 2022, item 633 as amended);

b)         these terms and conditions.

8.       These terms and conditions shall apply to all employees and associates of the Medical Entity, in particular persons providing health services as part of the Medical Entity’s activities, regardless of the basis of employment or legal relationship, as well as to patients of the Medical Entity.

9.         The following terms shall have the respective meanings ascribed below:

a)         “Manager” – the manager of the Medical Entity within the meaning of the act of medical activity, i.e., the Management Board of the company Klinika Flebologii sp. z o.o. with its principal office in Warsaw;

b)         “Patient” – a person who requests or receives health services provided by the Medical Entity;

c)         “Medical Entity” – Klinika Flebologii sp. z o.o., (Ltd.) with its principal office in Warsaw, 5 Wawelska St., 02-034 Warsaw, Poland, tax identification No. (NIP): 7010498962, REGON No.: 362159728, registered in the register of entrepreneurs kept by the District Court for the Capital City of Warsaw in Warsaw, XII Commercial Division of the National Court Register under company registration No.: KRS 0000568625, a medical entity registered in the Register of Entities Performing Medical Activity, kept by the Voivode of the Masovian (W-14) under registration number 000000179794;

d)         “Specialist clinic” or “Specialist clinics” – an organisational unit of the medical facility in which health services are provided according to the specialisation of the organisational unit concerned;

e)         “Terms and Conditions” – these organisational terms and conditions of the Medical Entity;

f)          “Health Service” or “Services” – activities aimed at preserving, saving, restoring, or improving health as well as other medical activities resulting from the treatment or separate provisions regulating their performance.

§ 2.    GENERAL PURPOSES AND OBJECTIVES OF THE MEDICAL ENTITY

3.         The Medical Entity pursues its aims and objectives by providing healthcare to Patients in compliance with applicable legislation and standards. The Medical Entity ensures that:

a)         the Services are provided by medical professionals with the appropriate authorisations and qualifications;

b)         the premises of the Medical Entity comply with all professional and sanitary requirements, and are equipped with apparatus and other equipment with the relevant certificates and attestations obtained in accordance with the mandatory provisions of law, and are subject to inspections carried out by authorised services;

c)         the equipment used in the Medical Entity was placed on the market and is used in accordance with applicable legislation.

§ 3     MEDICAL ACTIVITY AND THE SCOPE OF HEALTH SERVICES

1.         The Health Services provided by the Medical Entity in the field of phlebology and angiology consist of activities aiming at preserving, saving, restoring, or improving health, as well as other medical activities resulting from the treatment process or separate provisions regulating their performance.

2.         The Medical Entity performs the following types of medical activity:

a)         outpatient healthcare services performed at Centrum Medyczne Klinika Flebologii medical facility, 5 Wawelska St., 02-034 Warsaw, REGON No.: 362159728-00011;

b)         inpatient and round-the-clock healthcare services with the intention of completing them within a period not exceeding 24 hours, performed at CM Klinika Flebologii medical facility, 5 Wawelska St., 02-034 Warsaw, REGON No.: 362159728-00029.

3.         Health Services are provided at the medical facilities located in Warsaw (02-034) at 5 Wawelska St., from Monday to Saturday, during the following hours:

a)         Monday-Friday: 8:00 a.m. to 8:00 p.m.;

b)         Saturday: 8:00 a.m. to 4:00 p.m.;

in accordance with a work schedule.

4.         Within the scope of the Terms and Conditions, Health Services are provided via means of distance communication, i.e., the website of the Medical Entity.

§ 5     GENERAL RULES FOR THE PROVISION OF HEALTH SERVICES

1.         Health Services are provided in the medical facility and, to the extent specified in these Terms and Conditions, by means of distance communication, i.e., via the Medical Entity’s website.

2.         The Medical Entity organizes the provision of Health Services in the organisational units of the medical facility, ensuring the appropriate availability and quality of the Services in a way that is the most convenient for Patients.

3.         The Medical Entity ensures that Health Services are provided with due care, in accordance with current medical knowledge and with respect for the rights of the Patient.

4.         Health Services are provided by medical professionals with qualifications required by separate regulations, confirmed by relevant documents and an appropriate state of health.

5.         During Health Services, the Medical Entity provides the Patient with the required medicinal products, medical devices, and equipment. The Medical Entity ensures that the materials, devices, and equipment used during the provision of the Services have been placed on the market and are in its possession legally and are used in accordance with the relevant instructions. The Medical Entity is responsible for the equipment and devices required to provide Services and their condition.

6.         Health Services are provided to commercial Patients without a referral.

7.         Health Services are provided with respect for the principles of equal and fair access and in accordance with medical criteria.

8.         Health Services are provided on fixed dates after booking. The appointments are agreed upon with the Patient individually, taking into account, e.g., the order of applications, the availability of medical professionals, and the schedule for the provision of Health Services.

9.         The fee paid for the Services does not affect the order and schedule of the Health Services.

10.       The Patient can book an appointment in person at the premises of the Medical Entity, by phone, or electronically to the e-mail address indicated by the Medical Entity.

11.       The Patient can cancel or postpone an appointment until 4:00 p.m. a day before the scheduled appointment. If the Patient fails to meet the deadline, the Medical Entity has the right to keep the deposit paid by the Patient unless the Patient's absence is caused by force majeure. Force majeure is understood as a sudden deterioration of health condition preventing timely appointment cancellation confirmed by medical records or medical certificate and documented circumstances of the same or similar importance. In the situation referred to in this Section 11, the deposit is not credited towards payment for the Service provided to the Patient later.

12.       On the date agreed with the Patient to provide the Service, the Patient is obliged to report at the registration of the Medical Entity at least 20 minutes before the appointment – in the case of the first visit, and at least 10 minutes before the appointment – in the case of subsequent visits. If the Patient is late, the agreed time for the Service will not be extended, which particularly concerns the time for consultations. If the Patient is more than 10 minutes late, the Medical Entity can refuse to provide the Service. If such a Patient paid a deposit for the Service, the Medical Entity has the right to retain the deposit. The deposit will not be credited towards payment for the Services provided at a later date.

13.       Before the scheduled appointment, the Medical Entity will attempt to contact the Patient by phone to confirm the appointment. If the attempt is unsuccessful, the Patient will receive an SMS requesting to confirm or cancel the appointment by 4 p.m. on the day before the appointment or within the deadline specified in SMS. SMS will be sent to the phone number provided by the Patient. In case of a failure to confirm the appointment on time, the Medical Entity can cancel the appointment. Such cancelation is considered to be due to the reasons attributable to the Patient.

14.       The Patient enters the office after being requested by the physician or nurse.

15.       The personal details (name and last name) of the medical professional providing the Services are on their personal badges.

16.       The Patient's legal representative or actual guardian is obliged to remain in the medical facility during the provision of the Service to the Patient.

17.       If it is impossible to provide the Service as scheduled, the Medical Entity will contact the Patient immediately by phone to arrange an alternative date for the Service.

18.       The Medical Entity reserves the right to refuse to provide Services if:

a)         Patient or Patient's legal representative refuses to consent to the provision of Health Service or the consent given does not meet the requirements of the law;

b)         Patient is ineligible for the Health Service, as determined by the physician or nurse;

c)         Patient's condition makes it impossible to provide the health service, e.g., the Patient is under the influence of alcohol or drugs or due to a grossly poor hygienic condition (this does not apply to situations of immediate danger to the Patient's life or health);

d)         Patient has failed to comply with the Physician's recommendations, e.g., the Patient has failed to perform or submit for review relevant diagnostic tests or has failed to perform them on time;

e)         Patient has failed to pay for the Service, except where payment after the Service has been agreed upon with the Patient;

f)          the Medical Entity is unable to verify the Patient's identity;

g)         for other reasons preventing from providing Services, which include sanitary and epidemiological reasons, including those aimed to ensure the appropriate safety of the personnel and Patients of the Medical Entity.

19.       Prior to the provision of the Service, the Patient or their legal representative is 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, procedure, potential implications of the Service, including complications. The Patient or their legal representative, and with the consent of the Patient also another person, has the right to be informed about the Patient's health condition in the course of providing a Service (if its character allows it) and after its provision. Based on the information obtained, the Patient gives their written informed consent for the provision of the Service. A lack of the Patient's consent is considered a refusal to provide the Service.

20.       Prior to the provision of a Service, the Patient makes the following statements in writing or electronically:

a)         consent to the provision of the Service;

b)         a statement on the authorisation of a specified person to obtain information on the Patient's health condition or a lack of such authorization;

c)         a statement on the authorisation of a specified person to have access to the Patient's medical records or a lack of such authorisation;

d)         information regarding the processing of personal data;

e)         others required to provide the Service.

21.       Health Services in the form of issuing electronic prescriptions (e-prescriptions) are also provided by means of distance communication, i.e., via its website. The e-prescription ordering service is available only to those Patients who are already registered (with a Patient's card) and attending physician. E- prescription can refer only to medicinal products taken by the Patient continuously, the use of which is documented in the Patient's medical records. In other cases, the Medical Entity may refuse to issue a prescription ordered electronically.

22.       The e-prescription is issued electronically and can be filled by the Patient at the pharmacy after providing the Patient's PESEL No. and the e-prescription access code. The e-prescription access code will be sent to the Patient by SMS to the phone number indicated by the Patient in their patient’s chart which is part of their medical records.

23.       The e-prescription is issued upon receipt of payment confirmation for this Service.

§ 6     PAYMENT TERMS

1.         The Medical Entity provides Health Services against payment.

2.         The Patient is informed of the fee before the Service is provided. The fee for the Service is determined in accordance with the price list for the provision of Health Services of the Medical Entity in force on the date of providing the Service. The price list for health services is attached to these Terms and Conditions as attachment 1. The Medical Entity has the right to amend the price list at anytime. The price list change does not require justification and is made by publishing the new price list.

3.         The fee for the Service may vary depending on the Patient's medical condition, the complexity of the Service, the number of persons involved, and the length of the Patient's stay at the Medical Entity before or after the Service.

4.         The Medical Entity can charge the Patient with a deposit toward the price of the Service. The amount of the deposit is determined by the Medical Entity. Notwithstanding the above, a deposit of 50% of the Service price is collected from the Patient who did not appear at the Medical Entity on the agreed appointment or did not cancel it within the time limit indicated in § 5 Section 11 of the Terms and Conditions, except for force majeure circumstances. Force majeure circumstances are understood as a sudden deterioration of health preventing timely attendance at the Medical Entity confirmed by medical records or medical certificate or documented circumstances of equal importance.

5.         The Patient is obliged to pay the deposit for the Service within the time limit determined by the Medical Entity. If the time limit is not determined, the Patient pays the deposit within 5 working days from the appointment booking date. Within the period mentioned above, the Patient is obliged to provide Medical Entity with a confirmation of the payment by e-mail. A patient's failure to pay the deposit within the time limit or to send the payment confirmation in due time is considered a resignation from the Service.

6.         The deposit shall be reimbursed to the Patient in case the Patient resigns from the Service at least 5 working days before the agreed date of the Service and notify the Medical Entity thereof, and in case it concerns appointment for medical consultation, if the deposit has been collected, in case of resignation from the Service within the time limit specified in § 5 Section 11 of Terms and Conditions. The time limit referred to in the preceding sentence is deemed to be preserved if the Medical Entity receives notice of resignation within this time limit.

7.         The Medical Entity reserves the right to retain the deposit if it is not possible to provide the Service for reasons attributable to the Patient, in particular, the Patient's failure to carry out required tests or to provide the Medical Entity with test results at least 5 working days before the date of the scheduled appointment, to comply with medical recommendations (e.g., failure to take anticoagulants), to pay for the Service in advanced, or to appear at the Medical Entity's premises on the agreed date of providing the Service.

8.         Booking the appointment for venous interventions takes place upon payment of a non-refundable initial fee of PLN 1,000.00 for interventions whose price is at least PLN 4,000.00 and not more than PLN 9,000.00, or of PLN 2,000.00 for interventions whose price is at least PLN 9,000.00. The initial fee covers the initial costs incurred by the Medical Entity to provide the Service which are due at the time of confirmation of the date for providing the Service, including but not limited to the fee for booking the treatment room, 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 providing the Service and preparing to provide the Service, etc. If the Service is provided, the initial fee shall be credited against the price of the Service. However, in case of the failure to provide the Patient with Health Service, except if this failure is due to the fault of the Medical Entity, the Medical Entity shall withdraw from providing the Service and retain the initial fee. The initial fee will cover the initial costs of providing the Service referred to in this § 8 Section 8. The initial fee is paid by the Patient within 2 working days (in case the initial fee is PLN 1,000.00) or 5 working (if the initial fee is PLN 2,000.00) from the date of initial booking of the appointment for the Service referred to in this Section 8. The payment is made to the bank account indicated by the Medical Entity or at the registration desk. In the case of a bank transfer, the Patient sends a confirmation of the payment to the Medical Entity by e-mail within the time limit specified above. The initial booking is cancelled automatically if the Patient does not pay the initial fee within the time specified herein.

9.         Unless agreed otherwise, the Patient makes the payment for the Service before it is provided (in advance). Unless otherwise agreed with a Patient, at least in documentary form, in the case of Services with a unit price of PLN 4,000.00 or more, the Patient is obliged to make full payment no later than 2 working days before the appointment for the Service and, within this period, to send payment confirmation at the e-mail address indicated by the Medical Entity. In case of non-payment within the time limit, the Medical Entity is not obliged to provide the Service and is entitled to retain the deposit or initial fee towards the price of the Service that the Patient has paid according to Sections 4 or 8 above.

10.       The provision of the Service is confirmed by a bill or invoice as required by law.

§ 7     ORGANISATIONAL STRUCTURE OF THE CENTRUM MEDYCZNE KLINIKA FLEBOLOGII MEDICAL FACILITY

1.         There are the following organisational units that operate within the Centrum Medyczne Klinika Flebologii medical facility:

a)         phlebology outpatient clinic (1120);

b)         diagnostic general ultrasound laboratory (7210);

c)         surgical outpatient clinic (1500).

2.         The organisational units of the Centrum Medyczne Klinika Flebologii medical facility are established to:

a)         perform the tasks of the Medical Entity and implement its objectives;

b)         provide outpatient Health Services in the field of phlebology and angiology in compliance with the applicable regulations, taking into account the highest standards, indications of current medical knowledge, and respecting the patient's rights.

3.         To ensure the proper performance of the Centrum Medyczne Klinika Flebologii medical facility and the continuity and correctness of the Health Services provided therein, its organisational units cooperate in performing the tasks assigned to them with each other and with organisational units of the CM Klinika Flebologii medical facility.

§ 9     ORGANISATIONAL STRUCTURE OF THE CM KLINIKA FLEBOLOGII MEDICAL FACILITY

1.         There are the following organisational units that operate within the CM Klinika Flebologii medical facility:

a)         interventional radiology laboratory (7230);

b)         one-day treatment unit (4670);

c)         pharmacy department (4924).

2.         The organisational units of the CM Klinika Flebologii medical facility are established to:

a)         perform the tasks of the medical entity and implement its objectives;

b)         provide Health Services in accordance with the applicable regulations, taking into account the highest standards, indications of current medical knowledge, and respecting the patient's rights.

3.         The core tasks of the organisational units of the CM Klinika Flebologii medical facility are indicated in the following sections of these Terms and Conditions.

4.         To ensure the proper performance of the Centrum Medyczne Klinika Flebologii medical facility and the continuity and correctness of the Health Services provided therein, its organisational units cooperate in performing the tasks assigned to them with each other and with organisational units of the CM Klinika Flebologii medical facility.

§ 13   MAINTENANCE AND STORAGE OF MEDICAL RECORDS

1.         The Medical Entity maintains and stores medical records in accordance with the provisions of applicable law, in particular, the act on patient’s rights. The Medical Entity provides measures to keep medical records confidential and to protect them from damage and access by unauthorized persons.

2.         Persons providing Health Services, as well as other employees and associates of the Medical Entity, keep medical records on an ongoing basis with due diligence.

3.         The Medical Entity maintains medical records for 20 years from the end of the calendar year of the last entry, except for the following:

a)         medical records in the event of the Patient's death due to injury or poisoning, which are maintained for 30 years from the end of the calendar year in which the death occurred;

b)         medical records containing the data necessary to monitor the fate of blood and its components, which are maintained for 30 years from the end of the calendar year in which the last entry was made;

c)         X-rays maintained outside the Patient's medical records, which are maintained for 10 years from the end of the calendar year in which the image was taken;

d)         referrals for examinations or physician's orders, which are maintained for:

-     5 years from the end of the calendar year in which the Health Service that was the subject of the referral or the order was provided;

-     2 years from the end of the calendar year in which the referral was issued - if the Health Service was not provided due to the Patient's failure to report within the applicable time limit unless the Patient collected the referral;

e)         medical records concerning children under 2 years of age, which are maintained for 22 years.

4.         After the maintenance periods, medical records are destroyed to prevent the identification of the Patient. However, medical records to be destroyed may be provided to the Patient, their legal representative, or a person authorised by the Patient.

5.         After the maintenance periods, the handling of documentation considered archival material within the meaning of the Act of 14 July 1983 on the national archival resource and archives is governed by the relevant provisions of this act.

§ 14.  ACCESS TO MEDICAL RECORDS

1.         The Medical Entity shall make medical records available to:

a)         the Patient;

b)         the Patient's legal representative;

c)         a person authorised by the Patient.

2.         After the Patient's death, medical records can be made available to the person authorised by the Patient during their lifetime or to the person who was their legal representative at the time of the Patient's death. Medical records shall also be made available to a relative unless it is opposed by another relative or opposed by the Patient during their lifetime.

3.         In addition to the persons mentioned in Sections 1 and 2 above, medical records shall also be made available to:

a)         entities providing Health Services, if the records are necessary to ensure the continuity of the Health Services;

b)         public authorities, including the Ombudsman for Patient’s Rights, the National Health Fund, bodies of the self-government of medical professions and consultants in health care, as well as the Ombudsman for Patient’s Rights of the Psychiatric Hospital, to the extent necessary for these entities to perform their tasks, in particular supervision and control;

c)         entities referred to in Article 119 Section 1 and 2 of the act on medical activity, i.e., entities commissioned by the Minister competent for health to conduct control to the extent necessary to this control;

d)         the Medical Research Agency to the extent specified in the act of 21 February 2019 on the Medical Research Agency;

e)         the Minister competent for health matters, courts, including disciplinary courts, prosecutors, medical examiner, and ombudspersons for professional liability, in connection with the proceedings conducted;

f)          authorities and institutions authorised under separate laws if the examination was conducted at their request;

g)         pension authorities and disability assessment boards in connection with their proceedings;

h)         entities keeping registers of medical services, to the extent necessary to keep the registers;

i)           insurance companies, with the consent of the Patient;

j)           medical boards subordinate to the Minister of internal affairs, military medical boards, and medical boards of the Internal Security Agency or the Intelligence Agency subordinate to the heads of the relevant Agencies;

k)         medical professionals, in connection with the procedure of an assessment of an entity providing Health Services conducted under the provisions on accreditation in health care or a procedure for obtaining other quality certificates, to the extent necessary for the procedure;

l)           the provincial commission for adjudication of medical events within the scope of its proceedings;

m)        heirs within the scope of proceedings conducted before the provincial commission for adjudication of medical events;

n)         persons performing control activities based on the act of 28 April 2011 on the information system in health care, to the extent necessary;

o)         members of hospital infection control teams referred to in the act of 5 December 2008 on preventing and combating infections and infectious diseases in humans, to the extent necessary to perform their tasks.

4.         Medical records may also be made available to a university or research institute for scientific purposes without disclosing the name or other details that allow identification of the person concerned.

5.         A request for access to medical records can be made orally or in writing. A written request can be made at the registration of the Medical Entity, send to the address of the Medical Entity, or by email.

6.         Medical records are made available to an authorised person without undue delay in a manner that ensures confidentiality and protection of personal data.

7.         The Medical Entity is entitled to refuse to provide access to medical records to an unauthorised person. The refusal to provide access to medical records shall be in writing and must be reasoned. This also applies if providing medical records is not possible.

8.         Medical records can be made available in the following manner:

a)         for inspection, either at the place where the Health Services are provided, except for emergency medical actions, or at the premises of the entity providing the Health Services, with the possibility for the Patient or other authorised persons to take notes or photos;

b)         by making an extract, copy, replica, or printout thereof;

c)         by handing over the original against acknowledgment of receipt and with the proviso that the original will be returned after use; this applies to the request of public authorities or courts and if a delay in providing the records could entail the risk to life or health of the Patient. In the case referred to above, the Medical Entity makes and leaves at its premises a certified copy or photocopy of such documentation unless this is not possible, in particular, due to a risk to the life or health of the Patient;

d)         using electronic communication;

e)         on an electronic data carrier.

9.         Medical records in paper form may be shared as a digital reproduction (scan) transmitted by means of electronic communication or on an electronic data carrier at the request of the Patient or other authorised bodies or entities.

10.       The Medical Entity maintains a list of medical records in accordance with the act on patient’s rights.

§ 15   FEES FOR ACCESS TO MEDICAL RECORDS

1.         The Medical Entity makes medical records available in the manner indicated in § 14 Section 8 (b) and (e) and § 14 Section 9 against payment. The fee is determined in the price list for providing access to medical records in force at the time of a request for access to the records. The price list for providing access to medical records is attached as attachment 2 to these Terms and Conditions.

2.         The fee referred to in Section 1 is not charged when medical records are made available:

a)         to the Patient or the Patient's legal representative for the first time in the requested scope and in the manner referred to in § 14 Section 8 (b) and (e) and § 14 Section 9 of Terms and Conditions;

b)         in connection with proceedings before the provincial commission for adjudication of medical events.

§ 16   PROCEDURE IN CASE OF A PATIENT'S DEATH

1.         In the event of deterioration of the Patient's health condition resulting in life-threatening danger or in the event of the Patient's death, the Medical Entity immediately notifies the person or institution designated by the Patient or the Patient's legal representative.

2.         Considering the scope of the Health Services provided by CM Klinika Flebologii medical facility and the intention to complete them in a period not exceeding 24 hours, the Medical Entity does not provide the storage of the Patient's corpse. Therefore, it waives to adopt the fee schedule referred to in Article 24 Section 1 (11) of the act on medical activity.

§ 18   PATIENT’S RIGHTS AND OBLIGATIONS

1.         The Patient receiving Health Services at the medical facility has the rights provided by law, particularly the act on patient’s rights.

2.         A list of patients' rights is available for inspection at the registration of the Medical Entity.

3.         The Patient undertakes to obey the Terms and Conditions and all internal acts in force at the Medical Entity.

4.         The Patient is obliged in particular:

a)         to respect for the property of the Medical Entity;

b)         to respect the rights of other persons at the premises of the Medical Entity (Patients, employees, and associates of the Medical Entity);

c)         to obey the prohibition of entry to rooms where Health Services are provided or other rooms marked with a "do not enter" sign;

d)         to maintain cleanliness on the premises of the medical facility and other facilities of the Medical Entity;

e)         to behave culturally on the premises of the medical facility and other facilities of the Medical Entity.

5.         Alcohol, narcotics, and smoking are prohibited in the medical facility and other facilities of the Medical Entity.

6.         If damage to Medical Entity's property resulted from the Patient's wrongful actions, the Patient might be charged for the repair.

§ 20   VIDEO SURVEILLANCE

1.         In order to ensure the safety of persons on the premises of the Medical Entity and other facilities of the Medical Entity, in particular its Patients and employees, and for the Medical Entity's property security, the common areas of the Medical Entity are subject to permanent video surveillance.

2.         Video surveillance is provided in the following parts of the premises of the Medical Entity:

a)         entrances to the Medical Entity;

b)         passageways;

c)         registration;

d)         waiting room.

The parts of the Medical Entity covered by video surveillance are marked with appropriate signs.

3.         The Controller of the personal data processed in connection with video surveillance referred to in this § 20 is the Medical Entity.

4.         Personal data in the form of images of persons on the premises of the Medical Entity 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 video surveillance are kept confidential and protected from unauthorised access by third parties as required by law.

6.         Personal data may be made available only to entities entitled to receive such data under the provisions 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 3 months.

9.         Every person whose data are processed due to video surveillance shall have the rights referred to in § 19 Section 7-8 of the Terms and Conditions.

10.       Data collected in connection with video surveillance will not be used to make automated decisions and will not be a subject of profiling.

11.       The provision of personal data in the form of an image is necessary to stay on the premises of the Medical Entity for technical reasons.

§ 21.  COMPLAINTS

1.         The Patient is entitled to submit a complaint regarding the manner of providing the Health Service or the performance of other obligations of the Medical Entity.

2.         A complaint may be submitted in writing by sending it to the Medical Entity's address or by e-mail at rejestracja@klinikaflebologii.pl.

3.         The complaint shall indicate the Patient's contact details, in particular the name, mailing, or e-mail address, the subject of the complaint and explanation of the reason for the complaint, Patient's allegations and requests. In the absence of any of the information mentioned above, the complaint will not be considered.

4.         The Medical Entity considers the complaint within 30 days of receipt of the complete and correct complaint. The Medical Entity informs about the decision in the same form as requested.

§ 22   FINAL PROVISIONS

1.         These Terms and Conditions have been given to the Medical Entity by the Manager.

2.         The Medical Entity reserves the right to amend the Terms and Conditions. The Manager shall make amendments in writing by publishing the new wording of Terms and Conditions on the website of the Medical Entity and in any other place where the amended version of Terms and Conditions was available.

3.         Any matters not provided for herein shall be governed by Polish Law, particularly the act on medical activity and the act on patient’s rights.

5.         The extract of the Terms and Conditions shall be made available to Patients upon request at the registration of the Medical Entity, as well as on the website of the Medical Entity.

6.         These Terms and Conditions are provided to all employees and associates of the Medical Entity.

7.         These Terms and Conditions become effective upon 14 March 2024.

8.         The attachments to these Terms and Conditions are:

a)         price list for health services – attachment 1;

b)         price list for providing access to medical records – attachment 2.