Terms of Trade, Debt Collection & Patient Code of Conduct
Terms of Trade
Payment is due at the time of your consultation unless a prior arrangement has been made. An administration fee of $10 will be added to your account on our invoice. This administration fee will be removed if the account is paid within 7 days. Charges may be made for forms left for completion by the Doctor and other work performed outside the consultation time. Virtual or telephone consultations are the same price as face to face appointments. We reserve the right to charge for missed appointments. $15 for the 2nd missed appointment and full charge for the 3rd and subsequent missed appointments within a 12 month period.
A late fee of $10 will be added if your account is not paid within 60 days.
I understand that any overdue accounts may be placed in the hands of our Debt Collection Agency. Please note that this action will create extra costs for you. Where an advised credit limit or time for payment is exceeded you will be notified and we will cease to provide medical services except in an emergency.
Patient Code of Conduct
As the staff of Nelson Family Medicine, we agree to meet your needs to the best of our ability, within our resources, and to communicate with you in a respectful way.
We ask that you maintain our code of conduct below:
1.I will not display verbally threatening, aggressive or intimidating behaviour toward staff, patients or any other person on Nelson Family Medicine property.
2.If I am anxious or upset whilst attending, I will ask for help and assistance.
3.I will not consume alcohol, drugs, or other intoxicants on Nelson Family Medicine property.
4.I will not use language that is offensive or derogative to any other patient or staff member based on race, sexual orientation or appearance.
5.I will be respectful of the privacy of other attending patients.
Failure to comply with the above may result in your being asked to leave the clinic and further, you may be unenrolled with Nelson Family Medicine.
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Terms of Enrolment
I intend to use this practice as my regular and on-going provider of general practice / GP / health care services.
I understand that by enrolling with this practice I will be enrolled with the Primary Health Organisation (PHO) this practice belongs to, and my name, address and other identification details will be included on the Practice, PHO and National Enrolment Service Registers.
I understand that if I visit another provider where I am not enrolled I may be charged a higher fee.
I have been given information about the benefits and implications of enrolment with the PHO, and their contact details.
I have read and I agree with the Use of Health Information Statement. The information I have provided on the Enrolment Form will be used to determine eligibility to receive publicly-funded services. Information may be compared with other government agencies, but only when permitted under the Privacy Act.
I understand that the Practice participates in a national survey about people’s health care experience and how their overall care is managed. Taking part is voluntary and all responses will be anonymous. I can decline the survey or opt out the survey by informing the Practice. The survey provides important information that is used to improve health services.
I agree to inform the practice of any changes in my contact details and entitlement and/or eligibility to be enrolled.
I understand that I will be liable for any costs incurred in the collection of an overdue account, including any additional administration fees added to my account, plus the debt collector’s fee’s and commission fees.
PROOF OF ELIGIBILITY DOCUMENTATION
New Zealand Citizens:
New Zealand Passport (No further documentation required); OR
New Zealand Driver's Licence, AND one of the following: