Legal Agreement
Terms & Conditions
Patient Membership Plan Agreement — please read this document carefully before enrolling in any dental plan with AF Dental.
Governed by English Law
Direct Debit via Insurance Broking Finance Ltd
Monthly Membership Plan
This agreement is entered into between the Patient and the Practice upon commencement of a membership plan. Payments are administered by Insurance Broking Finance Ltd on behalf of the Practice.
01
Fees Payable by the Patient
1.1
The Patient will pay the Practice a Monthly Fee, as stated overleaf, for the services listed in Section 2 below.
1.2
Payments will be taken by Direct Debit through Insurance Broking Finance Ltd, who administer the direct debit facility on behalf of the Practice.
1.3
The first payment may be taken up to 2 months after the date of this Agreement due to administrative reasons and will consist of a "double payment" to include payment for the first and second months.
02
Services Provided by the Practice
2.1
In consideration of the fees outlined in clause 1.1, the Practice agrees to provide the dental services described in Section 2.2 below, either through the Dentist or a suitably qualified partner, member of staff, deputy or locum.
2.2
Plan details — choose from one of the following membership plans:
Most Comprehensive
Super Clean Plan
£25 / month
- 4 hygiene appointments
- Airflow treatment
- Accident & Emergency Insurance
- 10% off private treatments
Classic Clean Plan
£12 / month
- 2 hygiene appointments
- Airflow treatment
- Accident & Emergency Insurance
- 10% off private treatments
2.3
For the purposes of clause 2.2, years will run from the date of this Agreement and each anniversary of that date.
2.4
The fees paid under this Agreement do not cover costs associated with: treatment specifically excluded between you and your Dentist, orthodontic appliance therapy, dental implants and related superstructures, purely cosmetic treatment, treatment carried out at another Practice (other than temporary emergency treatment covered by the insurance in clause 2.2), pharmaceutical items, laboratory fees, prescription fees, extraction of wisdom teeth, sedation fees, or referral to specialists. These would be charged separately.
03
Responsibilities of the Patient
3.1
You must pay the Monthly Fee. If the Direct Debit cannot be taken, then all benefits under the Plan will cease from the date it was due to be taken.
3.2
You are responsible for ensuring that you make appointments with the Practice. There will be no refunds for any "unused" services, nor can they be carried forward from one year to another.
3.3
You must keep appointments made with your dentist or pay the appropriate missed appointment fee. Any late cancellations may be subject to a cancellation fee.
04
Administration
4.1
Administration of this scheme is undertaken on behalf of the Practice by Lloyd & Whyte Ltd and Insurance Broking Finance Ltd (in respect of arranging the Accident & Emergency Insurance and collection
of Direct Debits respectively). By signing this agreement you consent to these companies using the data you provide in order to complete such administration, but your personal details will not be used by them for any other reason.
4.2
Lloyd & Whyte Ltd and Insurance Broking Finance Ltd are not party to this Agreement and as such have no liability to the Patient (whether in respect of negligence, breach of contract, defective or unsatisfactory treatment or otherwise) but they may rely on the provisions of this Agreement despite the terms of the Contracts (Rights of Third Parties) Act 1999.
05
Complaints
5.1
Any complaints should be made in writing to the Practice. Such complaints will be treated fairly and promptly.
06
Changes to the Plan
6.1
The Practice may change the fees payable or extent of services provided under this agreement at any time. The Patient will always be given at least one month's Notice of such changes. Under normal circumstances, fees would only be changed once each year.
6.2
Any Notice will be deemed to be valid if sent to your last known address by ordinary post.
07
Termination of this Agreement
7.1
Either the Practice or Patient can terminate this Agreement at any time, with one month's Notice.
7.2
If Direct Debits cannot be taken from the Patient, then the Patient will be deemed to have terminated this Agreement.
7.3
On termination of this Agreement:
- All Services will cease immediately.
- If less than 12 months have passed since commencement and termination is by the Patient rather than the Practice, the Patient will be responsible for paying any difference between the amount of fees paid and the Practice's standard costs for Services used.
- There will be no refund for any "unused" Services.
7.4
If a patient wishes to re-join the Plan, this is at the discretion of the Practice and may incur a charge which would be advised prior to re-joining.
08
Change of Dentist
8.1
The Patient may request to change to a different dentist within the Practice. If that dentist agrees to treat the Patient under this Plan then the new dentist shall become the Dentist for the purpose of this Agreement.
8.2
If the Patient moved to a different practice, then this Agreement will terminate. This Agreement is not transferable.
09
Governing Law & Jurisdiction
9.1
This Agreement is governed by and constructed in accordance with English Law and the parties hereby irrevocably submit to the exclusive jurisdiction of the English Courts.
Important: By enrolling in this Plan, you confirm that you have read and understood these Terms & Conditions, and agree to be bound by them. If you have any questions, please contact AF Dental in writing before signing.