Your consultation will not be considered the first benefit received under the plan. You will be charged the usual consultation (examination) fee and accepted onto the plan after the day of your initial consultation(examination). All other benefits will be included into the plan.
There is an initial 6 months minimum period of membership required in order to receive the plans full benefits. In the event that a member ceases their membership contribution within the first 6 months, The Practice reserves the right to reclaim the difference in financial value of any benefits received by the member. Such a calculation will be based on a comparison of benefits received when compared with the private fee scale of the practice.
Following the initial 6 month membership period, 3 months’ notice is required to terminate membership.
The monthly fee paid by Direct Debit may be increased annually by The Dentist providing one month’s notice in writing to The Patient.
There will be a one off administration fee of £8.00 which we will payable with your first months direct debit payment.
This agreement is not transferable between The Patient and other patients, and only covers the services available with The Dentist and his/her nominated deputy in his/her absence.
Appointments that are arranged and not attended will count as part of your annual allocation of appointments and may result in a charge at the next appointment.
The Dentist, or, in the absence of The Dentist, his or her nominated deputy will provide dental services.
In the event of a sale of the practice to a new owner then this agreement can be transferred to the new owner.
Payments will be taken by direct debit on the 1st of every month.
The Patient agrees to pay fees to The Dentist for additional dental treatment completed that is not included in this plan.
The Plan does not include treatments that have already been discounted or part of any practice promotions.
The Plan does not include treatment carried out by specialist dentists who are registered with the GDC as a specialist.
The Patient must notify the Dentist of the change of any details as provided on this form, i.e. address, email etc.
Any failed payments may result in the bank charges being forwarded onto you as the patient at a charge of £0.42 pence per failed payment.