General Terms and Conditions

§ 1 App­li­ca­ti­on of the Gene­ral Terms and Con­di­ti­ons
§ 2 Con­tent of Con­tract
§ 3 Pati­ent Par­ti­ci­pa­ti­on
§ 4 Pay­ment
§ 5 Com­pen­sa­ti­on via Third Par­ties
§ 6 Con­fi­den­tia­li­ty of Tre­at­ment
§ 7 Bil­ling
§ 8 Dis­agree­menst
§ 9 Sever­an­ce Clau­se

[su_divider]

§ 1 Application of the General Terms and Conditions

The­se gene­ral terms and con­di­ti­ons govern the pro­fes­sio­nal rela­ti­on bet­ween the prac­ti­tio­ner and the pati­ent by means of a tre­at­ment con­tract wit­hin the mea­ning of § 611 ff of the Ger­man Civil Code (BGB) unless other­wi­se agreed upon in wri­ting bet­ween the con­trac­ting par­ties.
The con­tract comes to effect if the pati­ent makes use of the prac­ti­tio­ners gene­ral ser­vice offer and app­lies the moment when the pati­ent con­tac­ts or visits or is visi­ted for the pur­po­se of coun­se­ling, dia­gno­sis and/or the­ra­py.
The prac­ti­tio­ner is ent­it­led to reject a tre­at­ment con­tract wit­hout giving rea­sons if the necessa­ry trust rela­ti­ons­hip can not be expec­ted, if the spe­cia­list can not or is for­bid­den to tre­at due to spe­cia­li­za­ti­on or for any other legal rea­sons, or if the­re are other rea­sons causing him to be in con­flict of con­sci­ence.
In this case, man­dato­ry com­pen­sa­ti­on of the prac­ti­tio­ner covers all actions and tre­at­ments until the moment of rejec­tion.

[su_divider]

§ 2 Content of Contract

1. The prac­ti­tio­ner pro­vi­des ser­vices to the pati­ent in the form that he/she app­lies his/her know­ledge and abi­li­ties for the pur­po­se of infor­ma­ti­on, coun­se­ling, dia­gno­sis and the­ra­py of/for the pati­ent.
The prac­ti­tio­ner is ent­it­led to app­ly methods which cor­re­spond to the pre­su­med patient’s wis­hes, pro­vi­ded the pati­ent does not make any expli­cit decisi­on or state­ment about this.
Natur­o­paths or Healing prac­ti­tio­ners (in ger­man: Heil­prak­ti­ker) tra­di­tio­nal­ly also app­ly methods which are not in every case medi­cal­ly ack­now­led­ged or reco­gni­zed and which may not always be sci­en­ti­fi­cal­ly exp­lainab­le. A sub­jec­tively expec­ted suc­cess can and will not be pro­mi­sed.
If the pati­ent rejec­ts the use of such methods and wis­hes to be advi­sed, dia­gno­sed or trea­ted accord­ing to sci­en­ti­fi­cal­ly reco­gni­zed methods, he/she has to express this expli­citly to the cura­ti­ve prac­ti­tio­ner.*
The prac­ti­tio­ner is not allo­wed to issue any sick lea­ve docu­ment and is also not allo­wed to pre­scri­be any pre­scrip­ti­on-only medi­ca­ti­on.
*In this case, pri­or mutu­al informing of the pati­ent and prac­ti­tio­ner is self-evi­dent and is pre­sup­po­sed.

[su_divider]

§ 3 Patient Participation

The pati­ent is not obli­ged or forced to actively par­ti­ci­pa­te or sup­port the tre­at­ment. Howe­ver, in case of mis­sing trust or dest­ruc­tive beha­viour of the pati­ent the prac­ti­tio­ner can end the con­tract rela­ti­on. This is espe­ci­al­ly the case, if the pati­ent pur­po­se­ly with­holds important infor­ma­ti­on, acts against any advice and/or inhi­bits pro­per assess­ment and the­ra­py.

[su_divider]

§ 4 Payment

The prac­ti­tio­ner is ent­it­led to a fee for his ser­vices. If the fees have not been indi­vi­dual­ly agreed upon bet­ween prac­ti­tio­ner and pati­ent, the rates that are listed in the practitioner’s pri­ce list app­ly. All other fees or direc­to­ries do not app­ly.
The bil­led fee is always pay­a­ble by the trea­ted pati­ent, not by any insuran­ce or other third par­ties.
After each appoint­ment the pati­ent recei­ves an invoice accord­ing to § 7 of the Gene­ral Terms and Con­di­ti­ons.
If the prac­ti­tio­ner pro­vi­des third-par­ty ser­vices which he does not super­vi­se him/herself (for examp­le, labo­ra­to­ry ser­vices), he/she is ent­it­led to claim the amounts invoi­ced by the third par­ty as his/her own fee com­pon­ents and to sett­le with the pati­ent at the fore­see­ab­le amount pur­suant to para­graph 2. Such amounts must be shown sepa­r­ate­ly in rece­ipts and invoices. The cura­ti­ve prac­ti­tio­ner is ent­it­led to char­ge his own fees for media­ti­on of accom­pany­ing ser­vices.
If the prac­ti­tio­ner pro­vi­des ser­vices by use of a third par­ty, which he super­vi­ses him­s­elf, then the­se ser­vices beco­me part of the fees of the prac­ti­tio­ner. If the con­tract is not an all-inclu­si­ve agree­ment, the­se costs will be char­ged.
In the cases of para­graphs 3 and 4, the prac­ti­tio­ner is exemp­ted from the restric­tions of § 181 BGB (Ger­man Civil Code) and may con­clu­de legal tran­sac­tions bet­ween the third par­ty (eg labo­ra­to­ry) and him­s­elf as the patient’s rep­re­sen­ta­ti­ve. This also app­lies if Sec­tion 181 of the Civil Code also app­lies to the legal rela­ti­ons­hip bet­ween prac­ti­tio­ners and third par­ties irre­spec­tive of any exemp­ti­on sta­tus.
In accordance with legal regu­la­ti­ons, prac­ti­tio­ners are not allo­wed to sell phar­ma­cy-only pro­duc­ts. Howe­ver, direct app­li­ca­ti­on to pati­ents by the prac­ti­tio­ner is still per­mis­si­ble as this is not a deli­very but a use. It fol­lows that invoices gene­ral­ly con­tain the medi­ci­nes used and that it is not pos­si­ble to cal­cu­la­te them seperat­ly.
The use of medi­ci­nal pro­duc­ts brought in by the pati­ent by the prac­ti­tio­ner is exclu­ded from this.
Howe­ver, the dis­pen­sing of medi­ci­nal pro­duc­ts by phar­maci­es to the pati­ent for pre­scri­bed or recom­men­ded medi­ci­nal pro­duc­ts con­sti­tu­tes a direct busi­ness, which is not cove­r­ed by the­se gene­ral terms and con­di­ti­ons, which the­re­fo­re have no influ­ence on the bil­ling of the prac­ti­tio­ner. This also app­lies to medi­ci­nal pro­duc­ts, food sup­ple­ments and other aids recom­men­ded or pre­scri­bed by the prac­ti­tio­ner that the pati­ent buys in exter­nal sales out­lets.  The sup­ply of medi­ci­nes, die­ta­ry sup­ple­ments and other aids that are free­ly avail­ab­le is per­mit­ted to the prac­ti­tio­ner or affi­lia­ted com­pa­nies. On the pre­mi­se of the free choice of the point of sale, the­se pro­duc­ts may be sold by the prac­ti­tio­ner for the pur­po­se of making busi­ness or media­ting sales on a com­mis­si­on basis.

[su_divider]

§ 5 Compensation via Third Parties

Even if the pati­ent is ent­it­led to a com­pen­sa­ti­on or par­ti­al com­pen­sa­ti­on through a third par­ty (eg an insuran­ce) his /her obli­ga­ti­on to direct pay­ment is unaf­fec­ted as per §4. The prac­ti­tio­ner issu­es a direct invoice and can/will not grant any delay or par­ti­al pay­ment in expec­tan­ce of a poten­ti­al third par­ty pay­ment.
If the prac­ti­tio­ner makes the pati­ent awa­re of the reim­bur­se­ment prac­tices of third par­ties, the­se are always non-bin­ding.
In par­ti­cu­lar, the usu­al reim­bur­se­ment rates shall not be regar­ded as an agreed fee wit­hin the mea­ning of § 4 (1). The scope of the prac­ti­tio­ners ser­vices shall and will not be limi­ted to reim­b­urs­able bene­fits.
The prac­ti­tio­ner does not give any direct infor­ma­ti­on to the third par­ty in reim­bur­se­ments. All infor­ma­ti­on and necessa­ry cer­ti­fi­ca­tes are given exclu­si­ve­ly to the pati­ent. Such ser­vices are sub­ject to a fee.

[su_divider]

§ 6 Confidentiality of Treatment

The prac­ti­tio­ner tre­ats pati­ent data con­fi­den­ti­al­ly and pro­vi­des infor­ma­ti­on with regard to the dia­gno­sis, the con­sul­ta­ti­ons and the the­ra­py as well as their accom­pany­ing cir­cum­s­tan­ces and the per­so­nal cir­cum­s­tan­ces of the pati­ent only with the express con­sent of the pati­ent.
The writ­ten form can be dis­pen­sed with if the infor­ma­ti­on is in the inte­rest of the pati­ent and if is save to assu­me that the pati­ent will agree.

Para­graph 1. is not app­li­ca­ble if the prac­ti­tio­ner is obli­ga­ted to pass on the data accord­ing to legal regu­la­ti­ons — for examp­le, obli­gato­ry repor­ting of cer­tain dia­gno­ses — or on the grounds of an offi­ci­al or judi­ci­al order.
This also app­lies in the case of infor­ma­ti­on to offi­ci­al careta­kers, but not for infor­ma­ti­on to spou­ses, rela­ti­ves or fami­ly mem­bers.
Para­graph 1. shall also not be app­lied if per­so­nal attacks against the prac­ti­tio­ner or his/her pro­fes­sio­nal prac­tice take place in con­nec­tion with the con­sul­ta­ti­on, dia­gno­sis or the­ra­py, and he/she may be relie­ved by use of cor­rect data or fac­ts.
The prac­ti­tio­ner keeps an inter­nal record of his/her achie­ve­ments (hand file). The pati­ent has no right to be made awa­re of this act. He/She can not demand the publi­ca­ti­on of this file. Para­graph 2 shall remain unaf­fec­ted.
If the pati­ent requi­res a tre­at­ment or medi­cal file, the prac­ti­tio­ner crea­tes this file for a fee from the data in the hand file. If the hand files con­tain ori­gi­nals, the­se are inclu­ded in the tre­at­ment files as copies. The copies are given an indi­ca­ti­on that the ori­gi­nals are in the hand file.

[su_divider]

§ 7 Billing

The pati­ent recei­ves an invoice after com­ple­ti­on of a tre­at­ment pha­se.
The invoice con­tains the name and address of the pati­ent as well as the tre­at­ment peri­od, all types of ser­vices and the dia­gno­sis posi­ti­on.
The app­li­ca­ble value-added tax rate is shown where/if necessa­ry.
If the pati­ent does not wish to have a dia­gno­sis or the­ra­py spe­ci­men, he must inform the prac­ti­tio­ner accord­in­gly.

[su_divider]

§ 8 Disagreements

Dis­agree­ments regar­ding the tre­at­ment con­tract and the gene­ral terms and con­di­ti­ons should be sett­led ami­ca­bly. For this pur­po­se it is advi­s­able to pre­sent oppo­sing points of view, dif­fe­ring opi­ni­ons or com­p­laints in writ­ten form to the respec­tive other con­trac­ting par­ty.

[su_divider]

§ 9 Severance Clause

Should indi­vi­du­al pro­vi­si­ons of the tre­at­ment con­tract or the gene­ral terms and con­di­ti­ons be or beco­me inva­lid or void, the effec­tiveness of the tre­at­ment con­tract as a who­le will not be affec­ted.
The inva­lid or void pro­vi­si­on is to be repla­ced, in a free inter­pre­ta­ti­on, by a pro­vi­si­on which comes clo­sest to the object of the con­tract or the party’s will.

[su_divider]