TERMS AND CONDITIONS
CONSENT FORM

With all cosmetic procedures, compression garments are kept on for 6 weeks after surgery and must be worn 23 hours in a 24hr day.

You may experience oozing from the wound for a few hours after surgery. No bathing or showering is allowed until your treating surgeon or medical consultant has advised. No removal of dressings unless your surgeon or nurse has advised.

Avoid vigorous lymph massage and exercise for 4-6 weeks. Rest is highly recommended for the first 4-7days. This will assist with the recovery process. Avoid sleeping in the treated areas. Pursuit is strict on time management and encourages patients to stick to appointment times.

The patient must communicate all clinical questions and concerns directly with the surgeon and medical consultant.

Directly after surgery, you might experience some swelling, bruising, reddening, tenderness, numbness, sensitivity to pressure, and itching. Should you at any stage be concerned please contact us.

Post-procedure nausea and vomiting are common side effects in the first 48 hours after your procedure and may last for a few days. You may experience swelling for up to 6-12months.

Signs of infection: If you experience any of the following: extreme heat around the wounds, elevated temperature, strange odor from the wound.

Please inform the consultant immediately.

PROCEDURE CONSENT FORM

Every Cosmetic procedure involves a certain level of risk, and the patient must understand the risks involved. An individual’s choice to undergo cosmetic treatment is based on the comparison of the risk to the potential benefit. The majority of patients do not experience these complications. The patient should discuss each of them with their surgery before the procedure date to ensure they understand the risks, potential complications, and consequences of the treatment. The Surgeon Practice will be responsible to provide all the information relating to the elective procedure. It is the patient's responsibility to read all consent forms. Pursuit Consulting will ensure that all admin has been completed by the patient and re-enforce all clinical information provided by the surgeon.

To maintain an elevated level of service to you as a patient, please take note of the following:

Treatment

All wound care treatments are carried out in the surgeon's medical rooms or aftercare locations and are performed on instruction from the surgeon. Treatments are in accordance with your surgeon’s protocol, prescription, and the wound care specialist’s discretion. All the necessary steps will be taken to eliminate and or minimize any potential risks and disadvantages associated with any treatment. However, the outcome cannot be guaranteed.
The program provided by Pursuit is designed to ensure you are fit to travel and return to normal within the recommended periods. Programs and fees are subject to change due to the nature of the medical procedure.

PAYMENT METHOD

Payment can be made via EFT or cash to each service provider. EFT payments require proof of payment before the surgery date.

Confirmation
To secure your booking, a 60% payment is required upon receipt of the quotation. The remaining balance must be received 15 days before the procedure date.

Cancellation Fee
Cancellation fees will be charged for all cancellations, except for medical emergencies, as follows:

1. Cancellation 4-7 days before arrival date: 50% of the total charge.
2. Cancellation less than 48 hours before arrival date: 75% of the total charge.
3. Same-day cancellation: 100% of the total charge.

The patient will be responsible for all consultation and procedure fees.

Pursuit will not be held liable for any outstanding amounts due to service providers. Aftercare packages are calculated per day, not per item.

Same-day cancellations will be charged.

A 24-hour cancellation notice is required for all scheduled appointments.

Any remaining rehabilitation appointments can be used up to 12 months from the surgery date.

Proof of payment must be sent to accounts@thepursuit.co.za.

CONFIDENTIALITY

The wound care specialist may need to divulge certain personal and medical information regarding the patient to other attending practitioners and administrative staff concerned for purposes either relating to the treatment or to process for statistical, epidemiology, managed health care, and payment purposes. include sending of the account to the relevant third-party payer, funders, administrators, and switching companies, if applicable.

These practitioners and administrators will have access to personal medical records on a “need-to-know'' basis. Patient confidentiality will be protected at all costs, but absolute confidentiality cannot be guaranteed. As far as possible the information will be dealt with confidentiality.

I hereby give consent to wound care treatment, as prescribed by my Doctor. I also acknowledge that the wound care and/or format of treatment can change, according to availability and my specific medical needs. Permit to enter ICD10 codes (diagnostic codes) on all accounts processed, as this is a legal requirement by the Council of Medical Schemes.

I give this consent freely and declare that it was not made under duress. It is my right to withdraw this consent at any time for any specific procedure or modality, after discussion with my wound care specialist and Doctor. Images (digital, film, etc.) may be done by the professional Nurse Practitioner - of the patient and all the patient’s wounds with their surrounding anatomical features.

The purpose of this is to:

1. Monitor wound care progress and ensure continuity of care.
2. That their referring physician or other treating physicians may receive communication, including images, with regard to the patient’s treatment plan and results.
3. The imagery, without disclosing the identity of the patient, may be used for the purposes of education, research, quality assessment, or improvement strategies in wound care and procedure results.

Disclaimer
The informed consent process to define principles of risk disclosure should meet the needs of patients in most circumstances. However, Informed-consent documents should not be considered all-inclusive in defining other methods of care and risks encountered.

Your doctor may provide you with additional or different information that is based on all the facts in your case and the state of medical knowledge. Informed consent documents are not intended to define or serve as the standard of medical care. Standards of medical care are determined based on all the facts involved in an individual case and are subject to change as scientific knowledge and technology advance and as practice patterns evolve.

DISCLOSURE

Non-discrimination
We will not discriminate on gender, colour, national origin, religion, age, or disability.

All information provided in writing to the patient and further will require to apply to company terms and conditions. Details relating to the patient's procedure will only be disclosed and accepted only by the consultant and Doctor. All communications relating to patient procedure arrangements are dealt with directly through pursuit consulting. Pursuit consulting will ensure that the doctor-patient relationship is always communicated.

CANCELLATION FEE

The following charges will be levied for all cancellations, for whatsoever reason, except for a medical emergency.


* Cancellation of bookings between 4 and 7 days before arrival date,50 % of the total charge.
* Cancellation of bookings less than 48 hours before arrival date, 75 % of the total charge.
* Cancellation on the day or during recovery is 100% of the total charge.

The patient will be liable for all consultations and procedure fees. Pursuit will not be held liable for outstanding amounts due to any service providers.

Aftercare package are calculated per day and not per item

Same day cancellation will be redeemed.,

24hr cancellation for all booking is required.