General terms and conditions

I authorize the transmission of all information necessary for the preparation and collection of the invoice to any collection company, to any other company mandated to collect our fees, as well as to the competent official authorities (debt collection office, magistrate, courts, etc.).

I request that any information concerning me, requested by the health insurance company, of a personal or sensitive nature, including diagnosis, be transmitted only to the medical advisor of the said health insurance company.

I am aware of the potential risks associated with the exchange of sensitive personal data (possible consultation by unauthorized third parties if unsecured communication tools are used) and of my rights. I consent to mutual contact between the medical practice / my doctor and myself as a patient using the contact details provided above. The medical practice transmits patient information primarily and as far as possible via secure communication channels. I agree that administrative matters, such as rescheduling an appointment, may be transmitted by unencrypted e-mail (e.g. to a recipient address such as @srmc.ch, @bluemail.ch, @gmail.com, etc.).

I certify that all the information provided is correct and confirm my consent to the processing of my data, its access by the medical practice/doctor and its transmission to third parties in accordance with the patient information overleaf.

I understand that I am not eligible for revitalization therapies in cases of pregnancy, allergies to animal proteins, immunosuppressive treatments, autoimmune disorders, cancer, infectious diseases, certain anticoagulant treatments and depending on my state of health and current treatments.

Changing or cancelling appointments

I agree to be billed for appointments that are changed or not cancelled at least 48 hours in advance. To this end, and for any amounts not covered by the insurance, I authorize the school to pay the invoices directly using the amount of the guarantee deposited in my name with the school.