Patient focused
- A1. I understand that no one can guarantee an incident-free anaesthetic.
- A2. I understand that the theatre staff and equipment are supplied by the hospital. Anaesthetic equipment is checked on a daily basis.
- I agree to allow my personal data to be forwarded to the relevant organisations as required by law and to allow anonymous data of a clinical and practice management nature, to be collected to help to improve the patients healthcare experience.
- A4. I agree to allow my personal data to be forwarded to the relevant organisations as required by law and to allow anonymous data of a clinical and practice management nature, to be collected to help to improve the patients healthcare experience.
- A5. I agree to the processing of my health and personal information in order to provide me with proper treatment and care and/or for the administration of the institution or professional practice concerned. This consent extends to responsible parties acting as service providers to the institution or professional practice.
- A6. In the event of any claim, complaint, or grievance, I shall, prior to taking any legal action, promptly initiate a free and confidential pre-mediation meeting with an accredited mediator appointed by the South African Society of Anaesthesiologists (SASA).
- A7. Your anaesthetic account is rendered completely independently from the accounts issued by the hospital and the surgeon.
- A8. The breakdown of the cost estimate for the anaesthetic service has been discussed with me.
- A9. The cost estimate set out in Section C is time-based and may change as a result of unforeseen circumstances or unexpected complications.
- A10. You are personally responsible for payment and not your medical scheme. Your medical scheme may not cover the full amount on your account, depending on the scheme and the plan option you have chosen.
- A11. Should your account be handed over for collection, interest will be charged at 2% per month on all outstanding amounts. All costs incurred in collecting the arrears will be for your account on an attorney-and-client scale.
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