Contract Terms and Conditions for the Provision of Health Services

I. Introductory Provisions

The Contract Terms and Conditions for the Provision of Health Services set forth below govern the relationship between a health service provider and a patient involved in the provision of health services in the field of dental medicine health care, including health services related to dental medicine health care.

II. Explanatory Provisions

1) The term “Health Service Provider” refers to DEVIDENT s.r.o., ID No. 02540991, Vinohradská 3216/165, Strašnice, 100 00 Praha 10.
2) “Patient” refers to a natural person to whom health services are provided.
3) “Act” refers to Act No. 372/2011 Coll., on Health Services.
4) “Dentist” refers to a healthcare professional responsible for the proposal, coordination, provision and evaluation of individual treatment procedures related to a particular Patient and for the coordination of other health services as may be required.
5) “Other Healthcare Worker” refers to a person other than the Dentist, participating or otherwise involved in the provision of health services (e.g. a dental hygienist, dental assistant, general nurse or dental technician).
6) “Healthcare Facility” refers to the premises designated for the provision of health services.
7) “Appropriate Professional Level” refers to the provision of health services based on the rules of science and recognized medical procedures with due respect for the patient’s individuality and with regard to specific conditions and objective options.
8) “Above-standard Health Services” refers to health services not covered by the public health insurance scheme.
9) The Medical Service Provide websites can be accessed at www.devident.cz and www.mediclever.cz
10) The Medical Service Provider can be contacted at:
a) The Healthcare Facility in Příbram – tel. +420 770 601 314, e-mail: info.pribram@devident.cz
b) The Healthcare Facility in Prague at Vinohradská 3216/165 – tel. + 420 234 290 694, e-mail: recepce@mediclever.cz

III. Contract Formation

1) When concluding a contractual relationship, the Patient is required to supply the Health Service Provider with a proof of identity.
2) The Health Service Provider will validate the Patient’s appearance against the photograph on the identity card/document.
3) Patients enrolled in the public health insurance plan will submit their health insurance card to the Health Service Provider.
4) Moreover, as part of the contractual relationship, all Patients will be required to complete a case history form including the following information:
a) Name and surname;
b) Gender;
c) Personal identity number (if assigned) and date of birth;
d) Permanent address;
e) Contact information (phone no.);
f) Health insurance details;
g) Details of previously contracted diseases of a more serious nature;
h) Information about currently used medications;
i) Description of any allergic reactions;
j) Other important information that may be related to the provision of health services or information specifically requested by the Dentist or Other Healthcare Worker.
5) It is essential that all information provided by the Patient in the case history form be true and correct.
6) The Health Service Provider reserves the right to refrain from entering into a contract with or admitting any Patient if the admission would exceed the tolerable workload and/or is infeasible due to operational reasons, staffing constraints or the technical and material equipment of the Healthcare Facility.

IV. Rights of the Patient

1) Health services can be provided only with the Patient’s free and informed consent, unless otherwise stipulated by law.
2) The Patient is entitled to receive medical services at the Appropriate Professional Level.
3) The Patient is entitled to being treated with respect, dignity, courtesy and privacy while receiving medical services, with due regard to the nature of the medical services being provided.
4) The Patient is entitled to be informed in advance regarding the cost of the medical services to be provided and not covered, or only partially covered, by public health insurance, and the manner in which the provided services are to be paid.
5) The patient is entitled to know the name(s) and surname(s) of the healthcare workers and other professionals directly involved in the provision of health services.
6) The Patient has the right to request that no persons not directly involved in the provision of health services be present during the procedure.
7) The patient is entitled to be informed in an understandable manner, and to a sufficient extent, about his/her health condition, the proposed individual treatment procedure, and of any changes to it.
8) The Patient has the right to ask additional questions related to his/her health condition and the proposed health services. Any such additional questions must be answered in a clear and understandable manner.

V. Obligations of the Patient

1) The Patient shall follow the proposed treatment procedure.
2) The Patient shall observe the internal rules of the Health Service Provider.
3) The Patient shall bear the cost of the provided health services and procedures not covered, or only partially covered, by public health insurance.
4) The Patient shall keep the Dentist or Other Healthcare Workers truly informed with respect to the current developments in his/her health condition, including information about infectious diseases, health services provided by other providers, the use of medicinal products, including addictive substances, and other facts relevant to the provision of health services.
5) The Patient shall inform the Health Service Provider about any changes to the data provided in the case history form, immediately after the changes have occurred, but no later than during the next visit to the Healthcare Facility, on condition that the health services provided are not thereby compromised.
6) The Patient shall fully cooperate in the provision of health services and the inspection/assessment of the treatment process.
7) The Patient shall adhere to the arranged (or agreed) dates of examinations, medical interventions or other actions prescribed by the Dentist and/or Other Healthcare Workers.
8) The Patient shall notify the Health Service Provider about any appointment cancellation at least 48 hours prior to the arranged (or agreed) appointment date, either by telephone or via e-mail using the Health Service Provider’s contact details.

VI. Obligations of the Health Service Provider, Dentist or Other

Healthcare Workers

1) The Health Service Provider shall provide health services at the Appropriate Professional Level and secure the conditions and measures necessary to ensure that all Patients' rights and obligations can be enforced.
2) The Health Service Provider shall inform the Patient in advance about the cost of the health services to be provided and not covered, or only partially covered, by public health insurance, and provide the Patient with a receipt for payment.
3) The Dentist and/or Other Healthcare Workers shall provide health services, with respect to which they hold the required professional or special qualifications under other applicable legal regulations, to the extent appropriate to their qualifications and to the Patient's state of health, at the Appropriate Professional Level and in compliance with ethical principles.
4) The Health Service Provider, the Dentist and Other Healthcare Workers shall maintain confidentiality with respect to all facts revealed and information learned in connection with the provision of health services.

VII. Rights of the Health Service Provider, Dentist or Other

Healthcare Workers

1) The Health Service Provider selected by the Patient reserves the right to refrain from entering into a contract with or admitting any Patient if the admission would exceed the tolerable workload and/or is infeasible due to operational reasons, staffing constraints or the technical and material equipment of the Healthcare Facility; the tolerable workload is understood to be exceeded in circumstances where the provision of health services to another Patient would essentially decrease the level and safety of the health services being extended to the existing Patients.
2) The Dentist or Other Healthcare Workers have the right under specific legal regulations to request information from the patient to whom health services are to be provided with a view to determining whether he/she is a carrier of an infectious disease and/or information about other relevant facts concerning the Patient's health condition.
3) The Dentist or Other Healthcare Workers are entitled to refrain from providing health services if doing would put their health and/or life in immediate danger.
4) The Health Service Provider will be entitled to charge a contractual penalty in cases where the Patient fails to keep his/her appointment, unless properly cancelled in accordance with Art. V (8) above. The contractual penalty amounts to 500 CZK for each individual violation, to which the Patient has expressly consented.

VIII. Warranty Terms and Conditions

1) The Health Service Provider provides a warranty for a period of:
a) two years on all prosthetic work and fillings;
b) five years on all dental implants.
2) The warranty period does not apply to temporary work, endodontic treatment and service-related dental procedures (e.g. dental hygiene, bleaching, soft tissue work, etc.).
3) The Patient acknowledges the Health Service Provider’s right to reject any warranty claim, in full or in part, for the following reasons:
a) Lack of sufficient oral hygiene;
b) Failure to heed the Dentist or Other Healthcare Worker’s advice;
c) Inappropriate use of a dental prosthesis;
d) Untreated dysfunction of the jaw joint;
e) System diseases adversely affecting oral health (e.g. diabetes, epilepsy, osteoporosis, chemotherapy, etc.);
f) Head or neck injuries potentially involving teeth or jaw damage.
4) All warranty claims are to be submitted directly to the Health Service Provider in the respective Healthcare Facility. Each claim will be thoroughly investigated and settled within the statutory time period.

IX. Contractual Health Insurance Providers and Above-standard

Health Services

1) The Health Service Provider has negotiated contracts with health insurance providers and is entitled to provide health services covered by the public health insurance scheme.
2) A complete and up-to-date list of all contracted health insurance providers will be posted on the Health Service Provider’s website and in the Healthcare Facility.
3) The Patient acknowledges that the scope of health services covered by public health insurance is limited to basic types of treatment using basic materials.
4) For a complete overview of procedures and materials not covered by public health insurance visit the relevant Healthcare Facility.
5) Furthermore, the Patient will be duly notified by the Dentist or Other Healthcare Workers of any procedures and/or materials not covered by public health insurance.

X. Termination of Contract

1) Termination of contract includes but is not limited to the termination of health care pursuant to the applicable Act.
2) The Patient will be entitled to terminate the contract at any time without stating any particular reason for the termination.
3) The Health Service Provider will be entitled to terminate the contract if:
a) The Patient gives verifiable consent to be transferred to the care of another provider;
b) The Patient voices disagreement with the provision of all health services;
c) The Patient significantly restricts the rights of other Patients, intentionally and systematically refuses to follow the proposed individual treatment procedures to which he/she has previously consented, and/or fails to observe the Health Service Provider’s internal rules, provided his/her behaviour is not caused by a medical condition, or
d) The Patient withholds cooperation necessary for the continuation of health services; this does not apply if the failure to cooperate can be attributed to the Patient's state of health.
4) Termination of the contract will not release the Patient from the obligation to pay the Health Service Provider’s fees for the health services already provided.
5) In cases where the contract is terminated by the Health Service Provider, adequate precautions must be taken to avoid endangering the Patient’s life or seriously damaging his/her health.

XI. Final Provisions

1) The rights and obligations of the Health Service Provider and the Patient not defined in these Contract Terms and Conditions for the Provision of Health Services are governed by the applicable Act and/or other mandatory legal regulations.
2) The health care provider reserves the right to unilaterally modify or amend the Contract Terms and Conditions for the Provision of Health Services. The Health Service Provider will amend the Contract Terms and Conditions for the Provision of Health Services by publishing a new full version of the Contract Terms and Conditions for the Provision of Health Services on the Health Service Provider’s website. The Patient will be notified of any changes to the Contract Terms and Conditions for the Provision of Health Services at least 30 days prior to the effective date of any such change, electronically, by a written notice sent to the Patient's e-mail address specified in the case history form or by other appropriate means.
3) The Patient explicitly declares that he/she is acquainted with the content of these Contract Terms and Conditions for the Provision of Health Services, understands it and agrees with it. In witness whereof he/she endorses this document with his/her signature on the day, month and year stated below.

Edition 04
These Contract Terms and Conditions for the Provision of Health Services are effective as of 27 March 2025.