Contract of rendering services

Contract of rendering services

Voronezh                                                                                                «____» ______________ 202__

The Parties:

Mr (Ms) ___________________________________________________________________________

the citizen of ____________________________________, hereinafter referred to as «Customer», and —

MEDSERVICE PLUS LLC, hereinafter referred to as «Contractor», represented by the Director Plastunov Gennady Vitalievich, acting on the basis of the Charter,

referred together as «the Parties» have entered into this Contract as disclosed hereinbelow:

  1. Subject of the Contract

1.1.      The subject of this Contract is the provision of organizational assistance to the Customer in obtaining the necessary documentation for an invitation of the Customer (the Patient) for medical treatment to a medical institution (hereinafter the Clinic).

The scope of services listed below but not limited to including:

— providing technical assistance in the preparation and execution of the documents required for the entry of the Patient to the territory of the Russian Federation for medical treatment at the Clinic;

— providing the reference information on the Clinic;

— providing the reference information on the possibility of undergoing diagnostics and treatment of diseases at the Clinic and(or) Clinics for Customer’s choice;

— providing the price list(s) for medical services provided at the Clinic;

— an assistance, if necessary, in ordering and booking accommodations at a hotel (hotels), during the stay and treatment at the Clinic.

1.2.      Specific measures of assistance of those listed in Clause 1.1 of this Contract, their scope, number and time shall be determined personally and directly by the Customer basing on his(her) interests and expression of will. A specific list of services provided to the Customer is given in Appendix 2 (Specifications) to this Contract.

1.3.      The procedure for the provision of services is determined by Appendix 3 to this Contract. The Customer is notified that the services provided by the Contractor are neither medical nor tourist services and are not subject to the legal regulation of these specific spheres of activity.

  1. Obligations of the Parties

2.1.      Obligations of the Contractor:

2.1.1.   Contractor undertakes to provide the Customer with the services indicated in Clause 1.1 of this Contract.

2.1.2.   Contractor undertakes to submit the primary medical documentation of the Customer to the Clinic to develop a plan of medical treatment.

2.1.3.   Contractor undertakes to provide the Customer with the Certificate of the rendered services.

2.2.      Rights of the Contractor:

2.2.1.   Contractor shall determine independently the forms and methods of providing the Services, basing on the requirements of the legislation and in compliance to the will of the Customer.

2.2.2.   In case of violation by the Customer of Clauses 2.3.5, 2.3.6 of this Contract, the Contractor shall be entitled to apply to the appropriate division of the Migration Department of the Ministry of Internal Affairs of the Russian Federation in the manner provided for in Clause 4.6 of Appendix 3 to this Contract, for tracing the Customer.

2.3.      Obligations of the Customer:

2.3.1.   The Customer with purpose to implement this Contract with the assistance of the Contractor, shall submit to medical institution(s) complete and reliable information about the state of his(her) health which is necessary for the correct choice of a medical institution, methods of diagnosis and treatment, the information provided shall contain data confirmed by medical documents on the principal disease that had required diagnostics and treatment, the concomitant diseases, condition syndromes, age-related changes, body reactions that can affect the result of treatment. The volume and nature of this information, its recipient shall be determined by the Customer solely basing exclusively on his(her) will to obtain information about the availability of services at the medical institutions.

2.3.2.   The Customer shall provide the Contractor with an e-mail address and a phone number registered by the Telegram, WhatsApp messengers for prompt communication with the Contractor and resolving urgent issues. The Contractor is not liable for cases of access by third parties to Customer’s information transmitted via specified communication channels approved or allowed by expressed approval or permission of the Customer.

2.3.3.   The Customer shall provide reference data (which is not personal) of his(her) relative or other trusted person (a legal representative), including those of an accompanying person, as contacts to the Contractor for resolving urgent issues.

2.3.4.   The Customer shall make payment for the services of the Contractor in the manner prescribed by this Contract, timely review and sign the acceptance certificate of Services.

2.3.5.   The Customer, upon the receipt of a confirmed reply from the Contractor about the consent of the Clinic to accept the Customer for diagnosis and subsequent treatment, shall arrive to the Clinic at the time agreed with the Contractor. In case of failure to arrive by valid reasons the Customer shall notify the Clinic and the Contractor in writing by any possible way (e-mail or a messenger), agreeing on a different time for visiting.

2.3.6.   The Customer shall comply with the legislation of the Russian Federation in the provisions regulating the entry and stay of foreign citizens in the Russian Federation, the migration control and registration rules.

The Customer within 2 (two) days after crossing the border of the Russian Federation either entering or leaving its territory shall notify the Contractor in writing about crossing the border indicating the time and place (the customs border checkpoint) by any available means of communication (e-mail, a messenger).

2.4.      Rights of the Customer:

2.4.1.   The Customer shall be entitled to receive the services of the Contractor, including the preliminary negotiations, both in person and through a representative whose rights are formalized in accordance with the current legislation of the Russian Federation or a legal representative in cases stipulated by the current legislation.

2.4.2. The Customer may at any time refuse to execute this Contract, subject to payment to the Contractor for the actually rendered services.

  1. Cost of services and payment procedure

3.1.      The cost of the Contractor’s services under this Contract is RUR 30 800.00 (say: Thirty thousand eight hundred rubles 00 kopecks) comprising:

— 30,000 (Thirty thousand rubles 00 kopecks) for services of paperwork, including the collection, preparation, execution and submission of a documents package to the of the Ministry of Internal Affairs Chief Directorate for the subsequent issuance of an Invitation and Visa.

— 800 (Eight hundred rubles 00 kopecks): a payment of the state fee for issuing an invitation to a foreign citizen.

3.2.      The deposit of 50,000 (Fifty thousand rubles 00 kopecks) is a security deposit to Clinic for the Intourist-2 Program for services listed below: —

— analysis of medical records;

— development of a treatment and examination program;

— initial visit to a physician;

— provision of medical services according to the drawn up treatment program;

— coordination of the Customer at the Clinic by the attending physician.

3.3.      Payment under this Contract (Clauses 3.1, 3.2 of this Contract) is made by way of 100 percent advance payment within 2 (two) days from the date of signing this Contract to be paid at the option of the Customer either by bank transfer to the bank account of the Contractor or depositing funds to the Contractor’s cashier. The payment for the Customer under this Contract can be made by the consent of the Parties by a third party which is not a representative of the Customer.

3.4.      The deposit paid by the Customer under the Intourist-2 Program (Clause 3.2. Of this Contract) is non-refundable, except for the cases provided for in Clause 3.5 of Appendix 3 (Services Provision Procedure) to this Contract. The Contractor withholds upon the refunding at least 30% of the security deposit amount as a payment to the Clinic for the services actually rendered.

3.5.      The Contractor pays the Clinic for the services rendered to the Customer within the framework of the developed treatment program, not exceeding the amount specified in Clause 3.2. In case of a need for the subsequent or additional medical treatment which is not included in the developed treatment program it shall be paid solely by the Customer.

  1. Contract Execution Procedure. Confidentiality of personal data and medical secrets processing

4.1.      The Contractor, upon the completion of the provision of services, shall submit to the Customer an Acceptance Certificate of the services under this Contract in writing. The Acceptance Certificate signed by the Parties is a confirmation of the services provided by the Contractor to the Customer.

4.2.      The Customer accepts and signs the Acceptance Certificate on the provision of services under this Contract within 5 (five) calendar days from the date of receipt, provided that the Customer does not have any comments on the services provided by the Contractor. A scan (photo) of the signed Act shall be sent to the Contractor’s address by e-mail/ by means of a messenger, and the original provided in any convenient way for the Customer.

4.3.      In case of comments on the services provided by the Contractor, the Customer indicates this in the Acceptance Certificate and nsfers one copy of the Acceptance Certificate to the Contractor. In case of reasonable comments, the Contractor undertakes to correct the deficiencies or, in the absence of such an opportunity, to reduce the cost of the service. In the event that the Customer does not sign the Certificates for the provision of services and does not present motivated objections to the Contractor within 5 (five) calendar days from the date of receipt of such Certificates, the services are considered to be performed properly and accepted by the Customer without objections.

4.4.      At the conclusion of this Contract, the Customer signs the Consent to the processing of his(her) personal data (Appendix 1 to this Contract), which is an integral part of this Contract. Signing this Consent grants the Contractor the right to process personal data but does not impose on the Contractor the obligation to actually do it. The Contractor declares his desire to limit the receipt of any personal data of the Customer as much as possible.

4.5.      The Parties undertake to maintain confidentiality in relation to the personal, commercial and other information received from each other in strict accordance with the legislation of the Russian Federation and generally accepted norms of international law in the field of protection of human rights and freedoms.

  1. Responsibility of the Parties

5.1.      For non-fulfillment or improper fulfillment of obligations under this Contract the Parties shall be liable in accordance with the current legislation of the Russian Federation.

5.2.      The Customer is responsible for the accuracy of the information provided by him(her) including personal data and medical documents.

5.3.      Contractor does not bear legal and material responsibility in case of an official refusal to the Customer to enter the territory of the Russian Federation, to issue an entry visa, in case of delay to issue the documents by the consulate of any country except the Russian Federation, in case of changes in visa rules during the period of visa processing for obtaining medical services abroad.

5.4.      Contractor is not responsible for the results of medical treatment and diagnosis, for the occurrence of complications during Customer’s stay and medical treatment at the Clinic. The Contractor is not responsible in case of Customer’s death during his(her) stay and treatment at the Clinic.

5.5.      Contractor is not responsible for sudden unforeseen occurrence of equipment malfunction or other factors beyond the Contractor’s control that prevent the receipt of medical services at the Clinic.

5.6.      Contractor shall not be liable in case of violation by the Customer of the rules of entry and stay in the territory of the Russian Federation, in case of violation the requirements of migration registration, as well as any violations of the current legislation of the Russian Federation.

5.7.      Neither Party shall be liable for the complete or partial failure of the other Party to fulfill its obligations if the failure is the result of force majeure circumstances, such as fire, flood, earthquake, and other natural disasters, strikes war and hostilities or other circumstances outside the control of the Parties, hindering the implementation of this Contract, arising after the conclusion of this Contract, as well as on other grounds provided for by law. If any of such circumstances directly affected the failure to fulfill the obligation within the period specified in this Contract, this period shall be proportionally postponed for the duration of the relevant circumstance.

  1. Settlement of disputes procedure

6.1.      All disputes, claims and(or) dissent related to this Contracts that may arise between the Parties shall be resolved by way of negotiations.

6.2.      The Parties agree to apply a mandatory claim procedure for pre-trial settlement of disputes. The claim should be sent to the other Party in writing, the term for consideration of the claim is set equal to 10 (ten) business days from the date of receipt of the claim.

6.3.      In case of a failure to resolve a controversial issue(s) by way of negotiations, the disputes between the Parties are subject to resolution in the court at the location of the Contractor in accordance with the current procedural legislation of the Russian Federation.

  1. Validity period. Contract amendment and termination procedure

7.1.      This Contract comes into force from the moment of its signing by the Parties and is valid until «____» _________________ 202__.

7.2.      All amendments and additions to this Contract and its termination are considered valid provided that they are made in writing and signed by authorized representatives of both Parties.

7.3.      This Contract may be terminated by the consent of the Parties or at the request of one of the parties in cases stipulated by law.

  1. Miscellaneous

8.1.      The Parties acknowledge that the copies of this Contract with Appendices to the Contract, correspondence, claims, acts, notifications and any documents related to this Contract and(or) its execution sent by e-mail, by Telegram, WhatsApp messengers installed in smartphones shall be drawn up in writing and have legal force and significance equal to the originals of documents until the Parties receive the originals of such documents. A subsequent postage/transfer of the original documents to the other Party is obligatory. The originals shall be submitted to the respective Party personally or sent by courier or postal service (by registered mail). In case of a failure of either Parties to submit/transfer the original of the outgoing document to the other Party, then the other Party in case of a dispute shall be entitled to refer to the document received via e-mail and(or) a messenger.

8.2.      The Customer confirms by the fact of signing this Contract the notification that the service provided to him(her) is not of a medical or tourist nature, whereas the expressions: «medical», «tourism» mentioned in the Contractor’s advertising materials in any variations and combinations are not identical to the exact definition of the corresponding activity by the legislation of the Russian Federation, they do not fall under the legal regulation of these activities and are used exclusively in a descriptive sense.

8.3.      Any other circumstances that are not provided for by this Contract, the Parties shall be guided by the current legislation of the Russian Federation.

8.4.      This Contract is made in two copies, one for each Party, having the same legal force.

The Appendices listed below attached to this Contract are an integral part of it: —

  1. Customer’s Consent to the processing of personal data.
  2. List of Contractor’s services (Specification).
  3. Procedure for the provision of services (the text is also posted at the official Internet website: www.med-service.pro).
  4. Details and signatures of the Parties
Customer: Contractor:
___________________________________________

(first name(s), second name)

Nationality: _________________________________

Residence address: ___________________________

___________________________________________

Date of birth: ____ ____ ________

Personal ID, passport No.: ____ ________

Date of issue: ____ ____ ________

Date of expiration: ____ ____ ________

Issuing authority: ________

Phone (mobile): _____________________________

Telegram, WhatsApp: ________________________

E-mail: ____________________________________

«MEDSERVICE PLUS» LLC

Address: 48 Friedrich Engels St.,

office 3, Voronezh

Fiscal number/KPP: 3666221167/366601001

Bank details:

Bank account No.: 40702810313000040040

in SBERBANK plc, BIC 042007681,

Correspondent account 30101810600000000681.

Phone: +7 (960) 136 44 47

E-mail: vmt36@list.ru

Website: www.med-service.pro

Director
___________________ /__________________/

 

_________________________ /Plastunov G.V./

 

 

I have read Appendix. 3 to this Contract «Procedure for the provision of services by MEDSERVICE PLUS LLC».

Customer ________________________ (_______________________)      Date: __________________

 

 

Appendix 1

to the Contract for rendering services

No. ________ of ______________ 202__

Customer’s Consent to the processing of personal data

I, ________________________________________________________, date of birth ___ ___ _______,

passport: date of issue ___ ___ _____, date of expiration ___ ___ _____, issuing authority __________,

resident (registered) at: ________________________________________________________________

__________________________________________________________________________________,

in accordance with Art. 9 of the Federal Law of 27.07.2006 «On Personal Data» and for the purpose including, but not limited to the provision of information, reference and consulting, organizational and other similar services, I give (express) my consent (grant the right) to carry out all (any) necessary or desired actions (operations) with my personal data, including their collection, systematization, accumulation, storage, clarification (update, amendments etc.), use, an access to a limited circle of persons (including data transfer and cross-border transfer), depersonalization, blocking and destruction of the data and any other actions in relation to all (any) necessary personal data in any legally permitted way (without restrictions) to LLC «MEDSERVICE PLUS», OGRN 117366803885 , INN 3666221167, registered address: 48 Friedrich. Engels St., office 3, Voronezh, 394018 (hereinafter referred to as Contractor).

This consent applies to the processing of all (any) necessary personal data: last name, first name, patronymic, gender, date and place of birth, passport data (or other personal ID), registration address at the place of residence and actual residence, home and mobile telephone numbers, e-mail addresses, education, place of work, citizenship, insurance policy data, insurance number of an individual personal account (SNILS), as well as special categories of personal data, viz., the information about health status, diseases, cases of seeking medical help, diagnostic measures, and all other (any) necessary information (without limitation).

In particular, I agree to the cross-border transfer by the Contractor of my personal data mentioned above (including the medical data) to medical institutions in Russia and other countries at the choice of the Contractor in order to obtain information about the possibility of undergoing medical examination and treatment and their costs.

Specific actions (operations) with personal data (with the exception of distribution), methods of performing these actions, the volume of personal data, the storage period of personal data are determined solely by the Contractor in accordance with the current legislation of the Russian Federation and local regulations of the Contractor. I hereby confirm that I am acquainted with all documents establishing (regulating) the procedure for processing my personal data, with my rights and obligations in this scope.

I confirm by this Consent that I am the subject of the provided personal data (or a duly authorized representative thereof). I confirm herewith the reliability, accuracy, completeness of all the data provided, and I undertake to inform the Company immediately in case of any changes in the provided personal data, accompanied by all necessary supporting documents.

I hereby certify that by giving such Consent I act freely, on my own free will and in my own interests.

This Consent to the processing of personal data comes into force from the date of its signing and is valid until the purpose of processing personal data is achieved.

The condition for the withdrawal of this Consent is the submission by me of an application in writing, in accordance with the requirements of the legislation of the Russian Federation.

 

___________________ _________________________________________ _____________________

signature                                                full name                                                          date

 

Appendix 2

to the Contract for rendering services

No. ________ of ______________ 202__

List of Contractor’s services

(Specification)

Provision of technical assistance in the preparation and execution of the documents required for the entry of Client into the territory of the Russian Federation for medical assistance at the Clinic;

Providing the reference information on the Clinic (specify the profile);

Providing the reference information on the possibility of undergoing diagnostics and treatment of diseases at the Clinic (indicate cities, profile, terms);

Providing information on the price list for medical services provided by the Clinic (specify medical services, if possible);

Assistance in ordering and booking hotel accommodations (or other place of residence) for the duration of your stay and treatment at the Clinic;

An assistance in ordering and booking an excursion program (if necessary);

An assistance in ordering the medical services (if necessary).

 

 

Cust Contractor:
___________________________________________

(first name(s), second name)

«MEDSERVICE PLUS» LLC
Director
___________________ /__________________/

 

_________________________ /Plastunov G.V./

 

 

Appendix 3

to the Contract for rendering services

No. ________ of ______________ 202__

Procedure for the provision of services

by «MEDSERVICE PLUS» LLC

  1. General

1.1.      This procedure determines the procedure, the rights and obligations of the Parties, the cost of services, responsibility and other conditions of the relationship between the Customer and the Contractor when concluding this Contract for the provision of services provided for in Clause 1.2 of this Procedure.

1.2.      The Contractor has the opportunity to provide the Customer with the services listed below, forming in the aggregate the consumer product with the brand name «MEDSERVICE PLUS»:

— Providing information and organizational assistance to the citizens of the Russian Federation, CIS countries, foreign countries in the search and selection of a medical institution and medical specialists of the required profile, a sanatorium-resort institution for examination, treatment, surgery, recovery, rehabilitation of the Customer in the territory of Voronezh and the Voronezh region, Moscow and Moscow region, St. Petersburg, as well ass in other cities of the Russian Federation, and abroad;

— Obtaining a diagnosis/treatment schedule for the Customer, booking a visit, supervising and supporting the process of diagnostics, treatment, rehabilitation, including the organization of obtaining a «second opinion», «telemedicine consultation», obtaining medical services;

— Collection, preparation and execution of the documents for issuing an Invitation to a citizen crossing the border for the purpose of medical treatment in the Russian Federation, visa support for the Customer;

— Assistance in the registration of a foreign Customer at the place of temporary residence for purpose of medical treatment (rehabilitation);

— Booking tickets for transport, hotels, sanatoriums; organization of sightseeing tours around the city and n the neighborhood; booking tickets to a theater, concert etc.;

— Other organizational and accompanying services at the request of the Customer.

1.3.      Terms and Definitions:

Booking a visit — a preliminary registration of a foreign patient for hospitalization/outpatient visit on the date of his(her) planned arrival at the clinic.

Visa support — a complex of consulting and information services related to the registration, obtaining the necessary documents for opening visas.

Second opinion — the practice of obtaining an additional advice from a medical specialist based on the results of medical examination(s) in order to clarify the diagnosis and treatment program.

Deposit (security deposit) — a security amount sent by a foreign patient or his representative to the account of the Contractor for further payment for the services of a medical organization.

Contract — this Contract between the Customer and MEDSERVICE PLUS LLC and a Contract between the Customer and a medical institution (Clinic).

Deportation document — in the context of the relationship between the Customer and the Contractor, the decision forbidding an entry into the Russian Federation for a foreign citizen or an apatride, or a decision on the undesirability of stay (residence) in the Russian Federation, or the decision of the authorized bodies of the Russian Federation to prohibit an entry of a foreign citizen in the Russian Federation.

Customer — an individual, a foreign citizen who has entered into this Contract with «MEDSERVICE PLUS» LLC.

Customer’s legal representative — a person acting on behalf of a foreign patient. Registration of a proxy is regulated by the legislation of the Russian Federation and the approved internal Regulations of a medical organization.

Request — Customer’s appeal to the Contractor in order to obtain services or the appeal of a foreign patient to the Clinic in order to obtain a preliminary program and the cost of medical treatment.

Foreign citizen — an individual who is not a citizen of the Russian Federation with proven citizenship (nationality) of a foreign state.

Foreign patient — an individual who is receiving medical assistance or who has applied for medical assistance, regardless of whether he has a disease or his health status outside the country of his(her) permanent residence.

Contractor – «MEDSERVICE PLUS» LLC, the provider of services of non-medical and non-tourism nature to the Customer.

Clinic — a medical (health service) institution that accepts the Customer for diagnostics, treatment or rehabilitation.

Customer’s medical documents — any documents confirming and(or) containing the description of the performed diagnostic procedures, medical assistance, rehabilitation of the Customer, including the extracts from the medical institutions of the Russian Federation and other states, the conclusions of diagnostic examinations, studies, analyzes, medical record copies, certificates and other related documents.

Medical service — a medical intervention or a complex of medical interventions aimed at the prevention, diagnosis and treatment of diseases, medical rehabilitation and having an independent complete meaning.

Migration registration — registering of a foreign patient, a legal representative or representative of an underage foreign patient accompanying a person with the Federal Migration Service at the place of stay (at a hospital) within the next working day after the day of hospitalization, patient’s deregistration at the day of discharge.

Patient — an individual receiving a medical assistance or applying for medical assistance, regardless of suffering from a disease or an actual health status.

Personal data of a foreign patient — any information related to an individual either specific or determined on the basis of such information (hereinafter referred to as the Personal Data Subject), including: last name, first name, patronymic, year, month, date and place of birth, passports (ID) series and number, registration address and actual residence, identification number of a foreign patient, marital status, education, profession, series and number of medical insurance policy, outpatient card number, health information including health group, disability group, a restriction to work degree, registered diagnoses based on the results of a patient’s visit to a physician, information on the medical services provided including the laboratory tests and studies and their results, performed surgical interventions, cases of inpatient treatment, their results, issued sheets of temporary disability with an indication of the of the certificate of incapacity for work number and the period of incapacity for work, information on the prescribed and dispensed medicines and medical products.

Treatment/diagnosis program (pre-calculation) — a list of medical services compiled by a physician on the basis of medical documents received from the patient, indicating the preliminary cost of treatment that may be changed after the additional diagnostics of the patient and clarification of the diagnosis.

The «Gosuslugi» (Public Services) portal — a federal state information system of the Russian Federation which ensures the provision of state and municipal services in electronic digital form, to which the Contractor enters the information about the Customer required to enter the territory of the Russian Federation.

Medical organization offer — a list of medical services that a medical organization wishes and can provide to a foreign patient in a certain period.

Representative — an individual acting on behalf of the Customer on the basis of a notarized power of attorney.

Legal representative — a person acting on behalf of an underage child or an incapacitated or not fully capable person on the grounds provided for by the federal law.

Invitation — a permission to enter the Russian Federation, including an electronic form, which is the basis for issuing a visa to a foreign citizen or for entering the Russian Federation in a manner that does not require a visa, in cases stipulated by the Federal Law No. 115-FZ of July 25, 2002 «On the Legal Status of Foreign Citizens in the Russian Federation» or an international treaty of the Russian Federation.

«Intourist-1» Program — CIS citizens’ examination, treatment and rehabilitation at the selected clinic of the Russian Federation.

«Intourist-2» Program — examination, treatment and rehabilitation at the selected clinic of the Russian Federation of citizens of foreign countries that are not members of the CIS.

Accompanying person — an adult natural person accompanying a foreign patient during a visit for medical treatment. The status of a representative (legal representative) of the patient is optional.

Telemedicine consultation — remote interaction of medical workers with each other, with patients and (or) their legal representatives using the computer information technologies, with identification and authentication of these persons, documenting their actions during consultations, remote medical observation of a foreign patient.

Transfer — a service for the transportation of foreign patients from their place of residence, temporary stay or transport hub to the medical center and back.

Medical services — the services for foreign patients provided by a medical organization in the process of medical care, but not the elements of medical care.

  1. The order of interaction between the Customer and the Contractor. Obligations of the Parties

2.1.      Procedure and channels of patients’ referral:

The patient can contact «MEDSERVICE PLUS» LLC at the official website in the Internet, by e-mail: vmt36@list.ru, by phone: +7 (960) 136 44 47 (including via WhatsApp messengers), in person or through a representative by proxy, legal representative, with an application for the selection and organization of examination, treatment, surgery, recovery, rehabilitation, etc.

2.2.      Conclusion of this Contract:

Contract for the provision of information services and organizational assistance is concluded between «MEDSERVICE PLUS» LLC and the Customer after the clarification of Customer’s needs and all the nuances (period, place of residence, required examinations, treatment, etc.) by the Contractor’s personnel.

This Contract is concluded by signing by the Parties of the Contract itself and the annexes b eing its integral part. The Customer signs simultaneously with this Contract his(her) Consent to the processing of personal data, attaches the copies of the required documents (passport, medical reports available at hand). The Contractor, upon signing this Contract, shall submit this “Procedure for the provision of services to the Customer”. Simultaneously with the conclusion of this Contract, the Customer shall make an advance payment for services to the bank account of the Contractor or to the Contractor’s cashier compliant to Clause 3.1 of this “Procedure for the provision of services to the Customer”.

In case the Customer contacts the Customer remotely, the Contractor sends to the Customer a signed scan of the contract using the selected communication channels, the Customer prints and signs the contract and attachments and returns a scanned copy of the signed contract with attachments to the Contractor, with the attached scanned copy of the passport and his(her) medical documents, and within the next 2 (two) days the Customer shall make a full advance payment under this Contract to the bank account of the Contractor.

2.3.      Execution of the contract:

2.3.1.   The Contractor after the receipt of the advance payment fulfills the Customer’s request and selects a number of clinics and/or specialists in the required profile (specialization), transfers the information and medical documents of the Customer to the selected medical institutions to receive feedback and an approximate schedule of examination/treatment/rehabilitation and the cost of the specified medical services. The information received from the Clinics is sent back to the Customer.

2.3.2.   The Contractor having received the Customer’s consent to a selected Clinic, shall collect and prepare the documents for the arrival of the Customer in the time period specified by him(her).

For countries with visa control, Contractor shall prepare and submit a package of documents (including an invitation) to the migration service office of the Ministry of Internal Affairs Main Directorate in order to obtain visa and enter information on the Public Service portal. For visa-free countries an invitation to enter is issued and the respective notification is entered to the Public Services portal.

The copies of the confirmed documents shall be sent to the Customer’s e-mail address for printing and presentation at the customs when crossing the border.

2.3.3.   After confirming the Customer’s right to enter the Russian Federation, the Contractor reserves the time of the Customer’s visit to the Clinic, and notifies the latter about it.

The Customer in three days before arrival is obliged to inform in writing the exact date and time of arrival in the Russian Federation to the e-mail address or a messenger of the Contractor. In case of cancelled or postponed visit or the route change the Customer is also obliged to inform the Contractor immediately by sending an official application to the indicated e-mail address.

2.3.4.   When crossing the border (both when entering and leaving the Russian Federation), the Customer within 2 (two) days shall inform the Contractor in writing on the result and the time and place (customs checkpoint) of crossing the border, by any convenient communication means (e-mail, messenger).

2.3.5.   The Customer is obliged to appear at the Clinic at the time agreed with the Contractor. In case of failure to arrive for valid reasons, the Customer is obliged to notify the Clinic and the Contractor in writing by any convenient communication means (via e-mail or messenger), agreeing on a different time for visiting. The application for the suspended visit to the Clinic shall be submitted by the Customer to the Chief Physician of the Clinic.

2.3.6.   Upon completion of the provision of services, the Contractor shall submit the Acceptance Certificate under this Contract to the Customer. The Acceptance Certificate signed by the Parties is a confirmation of the provision of services by the Contractor to the Customer.

2.3.7.   The Customer shall accept and sign the Acceptance Certificate under this Contract within 5 (five) calendar days from the date of receipt, provided an absence of any comments by the Customer on the services provided by the Contractor. The Customer shall send a scan (photo) of the signed Acceptance Certificate to the Contractor by e-mail/messenger, and the original is provided hitherto in any convenient way.

2.3.8.   If there are comments on the services provided by the Contractor, the Customer should indicate them in the Act and transfer one copy of the Acceptance Certificate to the Contractor, or provide motivated objections. If there are reasonable comments, the Contractor undertakes to correct the deficiencies or, in the absence of such an opportunity, to reduce the cost of the service. If the Customer does not sign the Acceptance Certificate and does not present the Contractor with motivated objections within 5 (five) calendar days from the date of receipt of the Acceptance Certificate, the services are deemed to have been properly performed and accepted by the Customer without objection.

The Parties decide individually reducing the cost of the Contractor’s services in case of reasonable comments on the Contractor’s work, respectively.

2.3.9.   The Contractor undertakes to maintain confidentiality in relation to any personal, commercial and other information (including the medical data) received from the Customer in strict accordance with the legislation of the Russian Federation and generally accepted norms of the international law related to the protection of human rights and freedoms.

At the same time, the Contractor believes that the Customer will also adhere to similar confidentiality requirements with respect to the commercial information received from the Contractor.

2.3.10. Signing the Consent to the processing of personal data by the Customer grants the Contractor the right to process personal data, but does not impose on the Contractor the obligation to actually do it. The Contractor declares his desire to limit as much as possible the receipt of any personal data from the Customer and(or) his representative. At the same time, the Contractor guarantees the compliance with all the requirements of the current legislation of the Russian Federation in the sphere of personal data processing.

  1. Cost of services and payment method

3.1.      The cost of the Contractor’s services for the execution of the documents (including those by the Contractor provided for in Clause 2.3.2 of this Procedure) is:

— 15,000.00 (Fifteen thousand) rubles for persons arriving under the Intourist-1 program;

— 30,000.00 (Thirty thousand) rubles plus 800,00 (Eight hundred) rubles state duty for persons arriving under the Intourist-2 program.

3.2.      The amount of the deposit (security deposit) to the Clinic is determined directly by the Clinic and makes:

— for persons arriving under the Intourist-1 Program (CIS citizens) – 25 000.00 (Twenty five thousand) rubles.

— for persons arriving under the Intourist-2 Program (the citizens of foreign countries except for CIC) — 50 000.00 (Fifty thousand) rubles.

The programs include the following services:

— medical records analysis;

— development of a plan of examination and treatment;

— initial visit to a physician/medical specialist;

— provision of medical services according to the drawn up treatment program;

— coordination of the Customer at the Clinic by the attending physician.

The amount of the deposit is indicated in this Contract between the Customer and the Contractor.

3.3.      Payment under this Contract shall be made within 2 (two) days after signing the Contract by way of 100 percent advance payment either by bank transfer to the current account, or depositing funds to the Contractor’s cash desk, at the option of the Customer. The payment is considered accepted from the moment the funds are credited to the account of the Contractor.

Payment can be made by a third party who is not a representative of the Customer by the additional agreement of the Parties to this Contract.

3.4.      The deposit paid by the Customer under the Intourist-1 program is non-refundable.

In case that the authorized federal executive bodies (hereinafter referred to as the authorized bodies) make a decision forbidding or prohibiting the entry to the Russian Federation of a foreign citizen or an apatride, the deposit is subject to partial refund. In this case the Contractor withholds at least 30% (Thirty percent) of the deposited amount as a payment to the Clinic for the actually rendered services.

The deposit is returned to the bank account of the Customer or his representative (legal representative) by the application in writing from the Customer, upon presentation (sending) of the copy of a relevant decision of the authorized body to the Contractor.

3.5.      The deposit paid by the Customer under the Intourist-2 program is non-refundable.

The deposit paid by the Customer under the «Intourist-2» program is subject to partial refund in case of refusal to issue visa, and in cases of a decision a decision forbidding or prohibiting the entry of the Customer to the Russian Federation. In this case the Contractor withholds at least 30% (Thirty percent) of the deposited amount as a payment to the Clinic for the actually rendered services.

The deposit is returned to the bank account of the Customer or his representative (legal representative) by the application in writing from the Customer, upon presentation (sending) of the copy of a relevant decision of the authorized body to the Contractor.

3.6.      In case of payment for the Customer by a third party the deposit is subject to partial refund to the account of the person who made the payment, by the instructions in writing of the Customer or his representative. In absence of a written application sent to the Contractor in any convenient way by the Customer or his representative, the deposit will not be returned to the account of a third party.

3.7.      The Contractor, basing on the results of each billing period and the documents submitted by the Clinic, shall do a settlement with the Clinic for the services rendered to the Customer within the framework of the developed treatment program, within the amount specified in Clause 3.2 of this Procedure. An individual contract for the provision of medical services is signed at each visit to a medical specialist or manipulation between the patient and the medical institution.

If there is a need for subsequent or additional treatment that is not included in the developed treatment program, the Customer pays for such treatment solely and independently, on the basis of a Contract with the medical institution.

  1. Responsibility of the Parties

4.1.      The Customer is responsible for the accuracy of the information provided by him(her) including personal data and medical documents. In case the Customer provides deliberately inaccurate (false) information, the Contractor is released from the liability for any consequences of the Customer’s actions, including the forbidding or prohibition to entry into the Russian Federation, and (or) the deportation of a foreign citizen.

4.2.      The Contractor does not bear legal and material responsibility in case of an official refusal to the Customer to enter the territory of the Russian Federation, to issue an entry visa, in case of delay to issue the documents by the consulate of any country except the Russian Federation, in case of changes in visa rules during the period of visa processing for obtaining medical services abroad.

4.3.      The Contractor is not responsible for the results of medical treatment and diagnosis, for the occurrence of complications during Customer’s stay and medical treatment at the Clinic. The Contractor is not responsible in case of Customer’s death during his(her) stay and treatment at the Clinic.

4.4.      The Contractor shall not be liable for sudden unforeseen occurrence of equipment malfunction or other factors beyond the Contractor’s control that prevent the receipt of medical services at the Clinic.

4.5.      The Contractor shall not be liable in case of violation by the Customer of the rules of entry and stay in the territory of the Russian Federation, in case of violation the requirements of migration registration, as well as any violations of the current legislation of the Russian Federation.

4.6.      In case of refusal by the Customer to comply with the requirements of Clauses 2.3.3, 2.3.4, 2.3.5 of this Procedure and non-notifying the Contractor and the Clinic about crossing the border, either entering or leaving the territory of the Russian Federation, the Contractor reserves the right to apply to the competent authorities of the Russian Federation within the time limits established by law with an application to search for a foreign citizen.

The customer is notified that the result of such an appeal may be a deportation of the foreign citizen, and the decision to ban his(her) entry into the Russian Federation.

4.7.      Any issues that are not regulated by Section 4 of this Procedure on the responsibility of the Customer and the Contractor for non-fulfillment or improper fulfillment of their obligations under the concluded Contract shall be resolved in the manner prescribed by the current legislation of the Russian Federation.

The Contractor declares his desire to act invariably in the interests of the Customer in strict compliance with the requirements of the current legislation of the Russian Federation.

  1. Miscellaneous

5.1.      The Copies of this Contract between the Customer and «VORONEZH-MED-TOUR» LLC with the annexes, correspondence, claims, acts, notifications and any documents related to this Contract and (or) its execution sent by e-mail or via instant messengers shall be recognized as drawn up in writing and having legal force and significance of the originals of documents until the Parties receive the originals of such documents.

Subsequent sending/transfer of the original documents to the other Party is obligatory. The original is handed over to the other Party personally or sent by courier or postal service (by registered mail). If one of the Parties does not transfer the original of the outgoing document to the other Party, then the other Party, in case of a dispute, shall be entitled to refer to the document received by e-mail, messenger.

5.2.      In case of Customer’s requirement to receive services that are not provided for by this Procedure, the Parties shall act in accordance with the recognized common rules of business, the provisions of the current legislation of the Russian Federation. The costs of such additional services shall be established in accordance with the approved Price List of the Contractor or on the basis of average market prices for such services.

5.3.      The Contractor does not interfere with the relationship between the Clinic and the Patient, however, upon the Patient’s request, he can organize a consultation with other medical specialists, including the obtaining of a «second opinion», telemedicine consultation, organize the receipt of medical services, etc.

5.4.      In case of concluding an this Contract with «MEDSERVICE PLUS» LLC by a representative of the Customer acting by a power of attorney (a proxy), the representative guarantees the accuracy of information about the Customer (Patient) and shall bear responsibility for both the accuracy of the information and for the actions of the Customer. Obligations, rights and responsibilities of the Customer provided for in Clauses 2.2, 2.3.3, 2.3.4, 2.3.5, 2.3.6, 2.3.7, 2.3.8, 3.3, 3.4, 3.5, 3.6, 4.1, 4.5, 5.1 of this Procedure, apply to Customer’s representative.

At the conclusion of Contract the representative signs the Consent to the processing of both his personal data and the personal data of the Customer.

5.5.      In case of concluding Contract with «MEDSERVICE PLUS» LLC by a legal representative of an underage child, and(or) an incapacitated (partially capable) Customer, the legal representative shall be subject to all obligations, rights and responsibilities of the Customer provided for by this Procedure, including the obligation to ensure the presence of the patient at the Clinic.

The legal representative is responsible for the accuracy of the information about the Patient, as well as for all decisions taken in relation to the Patient (choice of clinic, examination/treatment program, medical services, etc.), and for the provision of the Patient’s personal data.

5.6.      This Procedure for the provision of services is an integral part of each contract concluded by «MEDSERVICE PLUS» LLC with a foreign citizen (an apatride), it is handed over to the Customer simultaneously with the Contract and is binding on both the Customer and the Contractor.

5.7.      This Procedure for the provision of services is posted on the official website of «MEDSERVICE PLUS» LLC in the Internet at: www.med-service.pro.

If necessary, the Customer can familiarize himself with this Procedure for the provision of services at the official website.

This Procedure for the provision of services is approved by the order No. _______ dated ______________ 2021 of the Contractor’s Director.

 

Director, «MEDSERVICE PLUS» LLC                                                    G.V. Plastunov

 

 

ACCEPTANCE CERTIFICATE

of services rendered under Contract No. __-__-__

of «____» ______________ 202__

Voronezh                                                                                                «____» ______________ 202__

The Parties:

Mr (Ms) ___________________________________________________________________________

the citizen of ____________________________________, hereinafter referred to as «Customer», and —

MEDSERVICE PLUS LLC, hereinafter referred to as «Contractor», represented by the Director Plastunov Gennady Vitalievich, acting on the basis of the Charter, have signed this Acceptance Certificate confirming that: —

  1. All services provided for by Appendix. 2 (Specification) to Contract No. _______ of _______________ 202__ have been fulfilled by the Contractor.
  2. The Parties have no claims to each other in terms of the volume, quality and payment for rendered services.
  3. This Act is drawn up in two copies, one for each of the Parties, having the same legal force.

Details and signatures of the Parties

Customer: Contractor:
___________________________________________

(first name(s), second name)

Nationality: _________________________________

Residence address: ___________________________

___________________________________________

Date of birth: ____ ____ ________

Personal ID, passport No.: ____ ________

Date of issue: ____ ____ ________

Date of expiration: ____ ____ ________

Issuing authority: ________

Phone (mobile): _____________________________

Telegram, WhatsApp: ________________________

E-mail: ____________________________________

«MEDSERVICE PLUS» LLC

Address: 48 Friedrich Engels St.,

office 3, Voronezh

Fiscal number/KPP: 3666221167/366601001

Bank details:

Bank account No.: 40702810313000040040

in SBERBANK plc, BIC 042007681,

Correspondent account 30101810600000000681.

Phone: +7 (960) 136 44 47

E-mail: vmt36@list.ru

Website: www.med-service.pro

Director
___________________ /__________________/

 

_________________________ /Plastunov G.V./