Please read the terms below and complete the patient intake form. This information is required before any treatment and helps us ensure your safety and the clinical accuracy of your IV therapy session.
In these terms and conditions:
"Location" means the place nominated by the Patient where the Services are to be performed;
"Service" and/or "Therapy" means IV infusion therapy, injections, hydration therapy, vitamin infusions, or any related service provided by the Service Provider or their appointed healthcare practitioners;
"Service Provider" means IV Mobile Therapy, including its nurses, healthcare practitioners, employees and authorised representatives.
These terms and conditions ("Terms") establish the framework for the relationship between IV Mobile Therapy ("the Service Provider" or "we" or "us") and yourself.
These Terms apply to all Services booked with the Service Provider.
By signing these Terms and making a booking, you accept that you have read and understood them and agree to be bound by them. If there is any conflict between these Terms and any subsequent documentation that you sign, these Terms will take precedence unless expressly provided otherwise.
All treatments are administered by qualified healthcare practitioners. A healthcare practitioner may stop or cancel treatment if necessary for your own safety.
All bookings must be made via the Service Provider's approved booking channels.
The Service Provider may, in its clinical discretion, refuse to provide any treatment to you if it is not clinically appropriate, safe or in your best interests.
You acknowledge and understand that whilst receiving the Therapy, you will not be allowed to leave the supervision of the healthcare practitioner.
Should you need to visit the restroom whilst receiving the Therapy, you will need to notify the healthcare practitioner, and you understand that the IV will need to be removed and subsequently replaced on your request.
You acknowledge and understand that the risk of the IV catheter insertion may include, inter alia, but not limited to, pain, bleeding, bruising, blood clots, infection and soft tissue injury.
You must disclose all medical conditions, chronic conditions, allergies, medications, recent illnesses or relevant symptoms.
You warrant that all information provided in any medical questionnaire or disclosed to the healthcare practitioner is true, complete, and accurate.
The Service Provider is not liable for any complication arising from your failure to disclose relevant medical information.
You acknowledge and understand that you must ensure that the Location nominated for the Services is:
Upon arrival, the Service Provider will inspect the Location.
The Service Provider may refuse to proceed with the Services if, in their professional opinion, the Location:
If the Service Provider refuses to proceed due to an unsuitable Location, you may still be liable for a call-out fee in accordance with the Service Provider's pricing policy.
All fees for the Services are payable in full at the time of treatment or directly thereafter.
Payments may be made by:
The Service Provider does not submit any claims to medical aids or medical insurance schemes.
All Services are provided strictly on a private, cash-pay basis.
The Service Provider makes no warranty or guarantee that a medical aid will reimburse any treatment and or the Therapy.
Additional fees may apply for:
These will be communicated before the appointment.
Cancellations must be made at least 24 (twenty-four) hours before the appointment time.
Late cancellations or failure to attend may result in a reasonable cancellation or call-out fee.
It is your responsibility to provide the correct and complete address for the Location where the Services are to be performed.
If you provide an incorrect, incomplete or inaccessible address, and the practitioner is unable to reach the Location or perform the Services on the booked time, the Service Provider may:
If any amount remains unpaid, the Service Provider may suspend future bookings until the balance is settled.
You understand and agree that you will be liable for any legal or collection costs incurred in recovering outstanding amounts.
The Service Provider will always endeavour to run on time.
Where the Service Provider is running late, the Service Provider will endeavour to contact you and inform you of the delay.
You warrant that you understand and agree that in healthcare and/or related therapy, results cannot be guaranteed. Results also depend on how one's individual body reacts to a treatment, which reaction is unique to every single patient.
You warrant that you understand and agree that your lifestyle or actions may affect the outcome or results of the treatment received.
You agree to follow the instructions provided to you by the relevant healthcare practitioner and if you fail to do this, you agree to undertake not to hold the Service Provider and/or any of its staff, healthcare practitioners or otherwise, liable for any direct or indirect negative consequence, damages, injury, illness, death, or loss sustained due to your failures or breach of these Terms.
You acknowledge and agree that a healthcare practitioner must always act in their patient's best interest. You agree and accept that the discretion remains with the healthcare practitioner to determine and administer medically appropriate treatment and/or Therapy. The healthcare practitioner reserves the right to alter, substitute, or withhold specific Therapy based on a thorough assessment of your health needs in accordance with best medical practice and prevailing medical standards. Such decisions are made with your best interest and safety as a priority, in line with South African healthcare regulations.
You acknowledge and agree that you will, therefore, remain liable for the payment of the consultation and/or services, regardless of whether the treatment initially and Therapy requested was not what was received.
The Service Provider collects information from you to provide the Services. The Service Provider requires you to provide us with your personal information so that the Service Provider and/or healthcare practitioner can provide the Service to you.
Personal information collected by the Service Provider and/or healthcare practitioner may include, but is not limited to, name and surname, identification number, contact and medical and health details.
All personal information handled by the Service Provider is regarded and treated as strictly confidential by the Service Provider, the healthcare practitioner, and employees. The Service Provider will at all times adhere to the provisions as set out in the Protection of Personal Information Act 4 of 2013 ("POPIA") as amended from time to time.
You understand that the Service Provider will need to process your personal information for the Service Provider to render the Services to you.
By signing these Terms, you consent to the Service Provider processing and sharing your personal information. The personal information will be collected and processed for the following purposes:
You consent to your personal information being provided to attorneys or debt recovery agencies to recover from you any amounts due if they remain unpaid.
Please note that health records shall be kept and securely stored for 20 years after your last visit to the Service Provider or such longer period as may be prescribed by legislation.
The Service Provider will store your personal data or information on our cloud servers, which electronically store data. The cloud storage facilities may be located outside the borders of South Africa; however, the Service Provider has entered into the requisite agreements to protect the confidentiality of your personal data or information. In the unlikely event of any data breaches within the Service Provider, the Service Provider will immediately notify you.
Please note that we can only release information with your written consent, even if a family member requests the information.
The Service Provider and its employees shall not be liable and you hereby indemnify the Service Provider and its employees from all liability for any loss, injury and/or damage of whatsoever nature suffered or that may occur in any form including as a result of an allergic reaction to the medication, undiagnosed or underlying medical condition, undisclosed medication, by whomever, including, but not limited to, loss or damage (direct, indirect or inconsequential), any injury (including fatal), sustained by and/or harm caused to you, whatever the cause may be, whilst receiving treatment or any other services, whether arising, either directly or indirectly, out of any omission, delict of contract by the Service Provider or its healthcare practitioners.
The Service Provider would like to hear if you have any compliments, complaints, or concerns about any issue or your experience with the Service Provider.
The Service Provider aims to ensure that all complaints and concerns are addressed appropriately and expeditiously. Should you have any complaint or concern with regard to the Service Provider or the healthcare practitioner who treated you, kindly address such concerns or complaints in writing via email to the Service Provider at bookings@mobileivtherapy.co.za. This will then urgently be addressed.
If you would like to meet with management to discuss any complaint or concern, we will welcome the opportunity. If necessary, the Service Provider may utilise the services of an independent mediator to chair any meeting to resolve issues or complaints. The Service Provider urges all persons to use this avenue before taking any action against any external entity.
These terms and conditions constitute the entire agreement between the parties relating to the Services and supersede any oral or other written representation or undertakings.
These terms and conditions will be interpreted in accordance with the Laws of the Republic of South Africa.
If any provision or undertaking in these terms and conditions is or becomes illegal, invalid or unenforceable, such provision shall be divisible and be regarded as pro non scripto, the remainder of these terms and conditions to be regarded as valid and binding.
No change of these terms and conditions will be allowed or effected, unless such change is agreed in writing and signed by both parties.
By signing these Terms, you confirm that you have read the terms and conditions and have been given the opportunity to clarify any queries you may have had or to ask questions.
You have freely chosen this Service Provider to consult with and are signing these Terms voluntarily.
You understand that these Terms are a contract between you and the Service Provider.
Complete the form below to confirm your booking and acknowledge the Terms & Conditions above. Fields marked with an asterisk are required.
