Terms and Conditions of Treatment

Terms and Conditions of Treatment

 TERMS & CONDITIONS of TREATMENT  

Revised August 2014

 

Once you have visited SFDC for your consultation, you will be provided with a written treatment plan listing out your dental treatment required. The following terms and conditions of treatment apply to any dental treatment undertaken at SFDC. Please read the following information so that you are aware of the terms and conditions for provision of dental treatment by SFDC. If you are unsure of the meaning or have any questions of any of the information presented in the treatment plan or the below listed terms and conditions, then please contact our Reception or Dr SHAH directly to discuss the matters before accepting the treatment plan proposed and commencing treatment.

 

1. PROFESSIONAL FEES

Dental Treatment plans are frequently complex and protracted in duration and may involve complete rehabilitation and reconstruction of a patient’s dentition. Professional fees are determined on a fee per service basis (ie: per crown, implant, filling etc.) The fee for each service is in turn calculated as a measure of the clinical time, instrument and material costs involved in the provision of the professional service as well as the other overheads of the practice. Professional fees quoted in a written treatment plan as inclusive unless otherwise stated. Whilst every attempt is made to plan for all possible treatment stages, sometimes unforeseen additional treatments become necessary (for example, when an old crown is removed, it may only then become obvious that a root canal treatment or a new core build up is required for that tooth). In other instances, it may become necessary to alter the treatment plan mid treatment if for example; a tooth proves to be un-restorable and must be extracted. In such circumstances, the costs of these procedures must be additional. Occasionally a treatment plan may make reference to approximate professional fees for the provision of services by other dental practitioners or specialists. When other practitioner’s fees are listed, the fees are estimates only to assist the patient in planning for the overall anticipated costs of treatment.

 

The Actual fees quoted in a treatment plan are for professional services provided by SFDC only. The fees are valid for treatment commenced within 3 months from the date of the treatment plan letter and are not able to be negotiated.

 

2. PAYMENT:

Payment for professional services may be made by Cash/Cheque, Hicaps, Eftpos, Visa and Mastercard. Acceptance of the written treatment plan indicates your acceptance and agreement to pay all professional fees in full. For some larger treatment plans involving multiple appointments, a deposit payment may be required to reserve this amount of clinic time in the appointment book just for you. If such a deposit is required, it will be indicated in your treatment plan letter. Due to the inherent cost of certain dental laboratory procedures, instalment payments will need to be made as treatment progresses with any remaining balance of payment to be made in full at completion of treatment.

3. ATTENDANCE FOR APPOINTMENTS:

Appointments will be made for you to have your dental treatment performed at SFDC. In the event that you have to reschedule an appointment, we do require at least 24 hours’ notice or a fee may be charged to cover the cost of lost clinical time. Appointment times are reserved for your treatment and hence cannot be easily reassigned to another patient. Whilst we make every effort to contact you 24-48 hours before your appointment as a courtesy reminder, if we don’t manage to get hold of you, this does not constitute grounds for your non-attendance. Once an appointment has been made, it is permanently reserved for you unless you notify us otherwise. In an unlikely event, an appointment may need to be rescheduled due to Laboratory work being delayed or dentist illness/emergency. If this is the case, we will always endeavour to provide you with as much notice as possible and also reappoint you as soon as possible.

4. HEALTH INSURANCE COVER AND REBATES:

If you have private health insurance with dental cover, you may be eligible for a rebate from your insurer on the cost of your dental treatment. Please note that rebate amounts are determined by your insurer and may have little relevance or correlation to the actual

 

professional fees incurred. The association and between you and your insurer is yours alone and whilst our staff may attempt to help with the processing of your health insurance claims,

 

we have no direct association with them. Your policy with an outside insurer and its terms and conditions, and the level of rebate you receive is between you and your insurer. Failure of your insurer to provide you with any anticipated or actual rebate is a matter between you and them and does not constitute grounds for failure to pay your account with SFDC.

 

5. WARRANTY ON DENTAL TREATMENT:

The treatment provided is warranted for replacement at no out of pocket cost should a failure occur under the following conditions. Failure constitutes technical and construction faults only and does not include recurrent decay due to poor patient oral hygiene, overload failure due to patient non-compliance in wearing a prescribed splint for grinding habits, failure due to accident or emergency, failure due to habitual damage (e.g. nail biting), failure due to loss or damage whether or not due to negligence on the patients behalf.

Other dental professionals may be involved in the provision of services in complex treatment plans. Failure of treatments by other professionals is not warranted by SFDC. Denture relines and adjustments or replacement of worn, expendables attachment components as part of a normal maintenance procedure does not constitute a failure. Should a failure occur, SFDC would rectify this at no out of pocket cost to the patient.

6. DISCONTINUATION OF TREATMENT:

Once you have commenced treatment, you agree to accept all responsibility for ensuring completion of the treatment in a timely manner. Should you elect to cease treatment, pro rata payment must be made for professional services to that point. SFDC accepts no responsibility for the state of maintenance of your oral health from that point onwards. If requested by the patient, or if treatment discontinuation results from an unavoidable geographical relocation, SFDC will endeavour to provide the name(s) of a practitioner to refer you to. In circumstances where treatment is discontinued, no warranty exists on treatment. When you receive your

 

written treatment plan and make appointments to commence treatment, it will be assumed that you have read this document and read and understood the terms and conditions of treatment herein. If there are any questions regarding treatment or of any other nature, we encourage you to contact us as soon as possible to discuss your questions.

 

Our aim at SFDC is to provide you with the very best possible standard of dental care, tailored to meet your specific needs, and to do this in the most timely manner and with the utmost of comfort for you. SFDC would like you to have a very positive experience with us and gain the best treatment outcome. Your adherence to these preceding terms and conditions of treatment will allow us to provide the best care for you that we can.

 

Signed: _____________________ (Patient)  Signed: __________________________ (Dentist)

Date:     _____________________                   Date:    __________________________