Terms and Conditions
I/We hold myself/ourselves personally responsible for payment of my wife’s/child’s/mother’s/father’s/husband’s account including the Dispensary Account Irrespective of Medical Aid Society or insurance claim, and have acquainted myself/ourselves with all the conditions and charges of this Facility. If for any reason this account rendered by Lenmed Health is unpaid and is handed over to attorneys for collection, I/We hereby agree to all costs incurred on the attorney and client scale collection commission.
I understand that LENMED’S ACCOUNT, is for the use of their facilities, and DOES NOT INCLUDE professional fees charged by any DOCTOR(S) treating me nor Radiology/Pathology or any other services.
The residential address is the chosen domicilium citandi et executandi, for the purposes of this agreement in respect of both the patient and signatory hereto should these be different parties.
I hereby certify that I am or my husband/wife/child is a bona fide member of the Medical Aid as stated.