GENERAL PATIENT AGREEMENT AND ACKNOWLEDGMENT OF SERVICES
This General Patient Agreement (hereinafter referred to as the “Agreement”) is entered into between:
SIA “Pallas Clinic”, a medical institution operating in compliance with the statutory requirements of the Republic of Latvia,
Registration No.: 42103111641
Medical Institution Code: 1300-00104
Registered address: Jaunzemu iela 4-1, Mārupe, LV-2167, Latvia
hereinafter referred to as the “Clinic”,
and
The Patient, whose personal details are provided in the Patient Application Form.
By submitting the electronic Patient Application Form and confirming acceptance of this Agreement via the designated checkbox, the Patient confirms that they have read, understood, and agreed to the terms and conditions set forth below.
Payment made to the Clinic according to an issued invoice shall also constitute confirmation of the Patient’s acceptance of this Agreement.
1. DEFINITIONS
1.1 Clinic
A duly registered medical institution operating in the Republic of Latvia in accordance with Latvian and European Union healthcare regulations.
1.2 Patient
An individual receiving consultations, diagnostics, or medical services from the Clinic.
1.3 Treatment Plan
A personalized medical document prepared by a qualified medical doctor outlining recommended medical services based on evaluation of the Patient’s medical history, laboratory tests, diagnostic examinations, and overall health condition.
1.4 Integrative and Supportive Therapies
Medical approaches intended to support the Patient’s general well-being, physiological balance, and quality of life during or after conventional medical treatment. These therapies are not intended to replace conventional medical treatment prescribed by the Patient’s treating physician.
1.5 Advanced Therapy Medicinal Products (ATMP)
Innovative therapies including gene therapy, cell therapy, and tissue-engineered products regulated under Regulation (EC) No. 1394/2007 and Directive 2001/83/EC of the European Union.
1.6 Dendritic Cell Therapy (DCT)
An immunotherapy approach involving dendritic cells derived from a patient’s biological material and processed in specialized laboratories.
1.7 Cytokine-Induced Killer (CIK) Cells
A form of immunotherapy involving immune cells that may enhance immune system activity.
1.8 Natural Killer (NK) Cell Therapy
A therapy involving immune cells that may support the body’s ability to recognize abnormal cells.
1.9 T-Cell Therapy
A therapy involving modified or expanded T-cells used in specialized medical centers.
1.10 Peptide Therapy
A medical therapy involving peptides that may influence biological processes related to immune regulation or physiological balance.
1.11 Intravenous Therapy
Medical therapy in which fluids, nutrients, or medications are administered directly into the bloodstream.
1.12 Ozone Therapy
A complementary therapy intended to support oxygen metabolism and physiological balance. It does not replace conventional medical treatment.
1.13 Telemedicine
Medical consultations provided remotely using electronic communication technologies.
1.14 Monitoring
Remote observation of the Patient’s health status through medical documentation, laboratory results, or communication with the Patient.
1.15 Additional Medical Services
Medical services or diagnostic procedures that may become necessary during treatment but were not initially included in the Treatment Plan.
1.16 Ownership of Biological Material
Biological material derived from the Patient remains the property of the Patient. The Clinic may facilitate storage or handling of such material in cooperation with licensed laboratories.
2. SCOPE OF SERVICES
The Clinic provides medical consultations, diagnostics, and integrative supportive medical services based on an individualized Treatment Plan prepared by a qualified medical doctor.
The services provided by the Clinic are not intended to replace conventional medical treatment prescribed by the Patient’s treating physician.
The Clinic may collaborate with external laboratories or medical institutions where specialized diagnostic procedures or services are required.
3. CONVENTIONAL MEDICAL TREATMENT
The Patient acknowledges that conventional medical treatments such as surgery, chemotherapy, radiation therapy, and other evidence-based medical interventions remain the primary treatment for oncological and other serious diseases.
The Clinic supports evidence-based medicine and encourages the Patient to follow the recommendations of their treating physician.
3A. INTEGRATIVE MEDICINE APPROACH
The Clinic operates within the framework of integrative medicine by providing medical services that may complement conventional medical treatments.
The Patient acknowledges that the services provided by the Clinic are not intended as primary treatment for oncological or other serious diseases.
Therapies offered by the Clinic are intended as supportive or complementary approaches aimed at improving the Patient’s general well-being, quality of life, and physiological balance during or after conventional medical treatment.
The Patient is encouraged to follow the recommendations of their treating physician or oncologist and to pursue conventional medical treatment based on evidence-based medicine.
4. ADVANCED OR EXTERNAL THERAPIES
During consultations, the Patient may receive information about innovative or advanced medical therapies.
The Patient understands that certain therapies may only be performed by licensed medical institutions or laboratories in accordance with the laws and regulations of the country where such therapies are provided.
The Clinic may provide medical information or assist with communication with such institutions.
4A. EXTERNAL ADVANCED THERAPY DISCLAIMER
The Patient acknowledges that certain therapies discussed during consultations, including cell-based therapies, immunotherapies, or other innovative medical technologies, may not be performed directly by the Clinic.
Such therapies may only be performed by licensed medical institutions or laboratories authorized under the laws of the country where the treatment is provided.
The Clinic may provide general medical information or assist with communication regarding such therapies but does not directly perform these procedures where prohibited by law.
5. PAYMENT TERMS
The Patient agrees to pay for services provided by the Clinic according to the issued invoice.
Payments must be made prior to the provision of services unless otherwise agreed.
Additional services that become necessary during treatment may be billed separately.
6. PATIENT RESPONSIBILITIES
The Patient agrees to:
• provide complete and accurate medical information
• follow medical recommendations provided by the Clinic
• inform the Clinic of any changes in health condition
• comply with the Clinic’s internal regulations.
The Clinic shall not be responsible for consequences resulting from incomplete or inaccurate information provided by the Patient.
7. CLINIC RESPONSIBILITIES
The Clinic shall:
• provide services in accordance with Latvian and EU regulations
• ensure services are performed by qualified medical professionals
• maintain confidentiality of patient data
• document treatment in accordance with legal requirements.
The Clinic reserves the right to refuse treatment if the Patient’s health condition does not meet safety requirements.
8. DATA PROTECTION
The Clinic processes personal and medical data in accordance with:
• the General Data Protection Regulation (GDPR)
• applicable Latvian and European Union data protection laws.
Patient data is collected solely for medical and administrative purposes related to treatment.
9. NO GUARANTEE OF RESULTS
The Patient understands that medical outcomes may vary depending on individual health conditions.
The Clinic does not guarantee specific medical results.
10. EMERGENCIES
In the event of a medical emergency during treatment, the Clinic may contact emergency medical services.
The Clinic shall not be responsible for actions or delays of third-party healthcare providers involved in emergency care.
11. DIAGNOSTIC SERVICES
The Clinic may recommend various diagnostic procedures including:
• blood tests
• CT, MRI or PET imaging
• biopsy or liquid biopsy.
Such diagnostic services may be performed by licensed external laboratories or medical institutions.
12. PATIENT COMPLAINTS
The Patient has the right to submit complaints regarding services provided by the Clinic.
Complaints must be submitted in writing within one (1) month from the date the service was provided.
The Clinic will respond within 30 days.
13. INFORMED CONSENT
The Patient confirms that they have received sufficient information regarding the nature of the proposed services, potential benefits, and possible risks.
Participation in any therapy is voluntary.
14. ACCEPTANCE OF AGREEMENT
By confirming acceptance via the checkbox in the Patient Application Form or by making payment according to the issued invoice, the Patient confirms that they have read, understood, and accepted the terms of this Agreement.
15. GOVERNING LAW AND JURISDICTION
This Agreement shall be governed by and interpreted in accordance with the laws of the Republic of Latvia.
Any disputes arising from this Agreement shall first be resolved through negotiations.
If no agreement is reached, disputes shall be resolved in the courts of the Republic of Latvia.
The place of jurisdiction shall be Riga, Latvia, unless otherwise required by law.