Blink Orthoptics Service Agreement
This service agreement is made between Blink Orthoptics and the Client.
Scope of Services
The Practice agrees to provide orthoptic services to the Client, which may include but are not limited to assessment, diagnosis, treatment, and management of visual disorders and eye movement disorders.
The Practice will use its professional expertise and best judgment to provide the services, in accordance with the relevant professional standards and codes of practice.
Fees and Payment
The fees for the services will be as agreed upon by the Practice and the Client prior to the commencement of the services.
The fees may be payable by the Client or by a third party, such as an insurance company or government agency, as agreed upon in writing by the Practice and the Client.
Payment is due upon receipt of an invoice from the Practice. Late payments may result in additional fees or the suspension of services until payment is received.
Confidentiality and Privacy
The Practice will maintain the confidentiality and privacy of the Client’s personal and health information, in accordance with the relevant professional standards and legal requirements.
The Client consents to the Practice of collecting, using, and disclosing their personal and health information for the purpose of providing the services. The Client may withdraw their consent at any time by notifying the Practice in writing.
The patient's de-identified data may be used to conduct research.
Cancellation and Rescheduling
The Practice may cancel or reschedule a scheduled appointment if necessary, with reasonable notice provided to the Client.
The Client may cancel or reschedule a scheduled appointment with the Practice, with reasonable notice provided to the Practice. The Client may be charged a fee for late cancellations or missed appointments.
Either party may terminate this Agreement at any time by providing written notice to the other party.
If the Client terminates the Agreement, the Client will be responsible for paying any outstanding fees owed to the Practice for services provided up to the date of termination.
Limitation of Liability
The Practice is not liable for any damages or losses arising from the services provided, except in cases of gross negligence or willful misconduct.
This Agreement constitutes the entire agreement between the Practice and the Client and supersedes all prior agreements, understandings, or representations, whether written or oral, regarding the services provided.
This Agreement may only be amended in writing by mutual agreement of the Practice and the Client.