Pregnancy Scan General Terms and Conditions
I/We confirm that I am receiving prenatal care (e.g. NHS) and that The Scan Clinic (TSC) neither has, will or seeks to provide any part of my obstetric care and that the scans and services offered by TSC are purely complimentary and are in no way replacing those appointed by my prenatal care provider i.e. NHS, whom I will continue to keep using as my primary prenatal care provider after the scans and/or services offered by TSC. Our Practitioners are not in possession of your medical records or history and are therefore not able to medically advise you on any diagnostic matters. You should always seek the advice of your Consultant and/or General Practitioner with any questions you may have regarding the Scan. I/We understand if any abnormalities are detected during the scan, it is my/our responsibility to contact my/our Healthcare professional with the appropriate ultrasound report. I/We confirm & understand that the Reassurance, Well-being, Growth, 3D/4D, Gender, Early Pregnancy & Presentation scans are NOT detailed scans and as such the practitioner will not be carrying out a detailed assessment. I understand that due to the limitations of the scan TSC or practitioner cannot guarantee detection of abnormalities & the scan is not 100% definitive. I understand & agree that the scan aims to achieve the primary purpose as set out on our website and re-scans (if any) will only be offered if the practitioner feels the primary purpose is not achieved. I understand that due to the limitations of the scan and other tests any information regarding the sex of the baby is not guaranteed to be accurate and will not hold TSC or the practitioner responsible for incorrect gender information. I also understand that it may not always be possible to determine the sex of the baby during the scan and if such is the case an alternative appointment may be arranged at no additional cost. Any re-scans arranged on the day will be charged accordingly to what has been performed on the day. If within your appointment time successful imaging is not achieved TSC may downgrade your package to cover services already provided and I/We agree to be charged accordingly. I/We understand that under no circumstances will a refund be given on any of our services & image(s). TSC will however offer a replacement of equal value for products that are found faulty. I/We also understand by signing this document I/we am/are waiving any responsibility or liability by TSC or the practitioner, including but not limited to any future diagnosis which may be made later from the images/video taken during this procedure. I/We further agree to indemnify and hold TSC and their practitioner(s) harmless from any legal action brought by or on behalf of my/our unborn child arising from this procedure. I/We understand that practitioner will try their upmost to get the best picture/video of my baby during your scan however I/We understand that the quality of the images/video are dependent on dynamic factors such as fatal position, gestational age, mothers body mass index (BMI), scar tissue and amniotic fluid which are constantly changing from day to day and are beyond the control of TSC or its practitioners. I/We understand that if adequate image(s)/video(s) of my baby cannot be obtained due to such circumstances TSC or its practitioners cannot be held responsible in any way whatsoever and I will be charged for the services provided. I/We understand that any dissatisfaction with the services/image(s)/video(s)/product(s) gained must be brought to the attention of TSC before leaving the clinic or within 48 hours of your scan. TSC will not be held responsible after this time. All images are property of TSC. Where applicable TSC will supply a printed pregnancy report to provide details of fetal position & placental site. Where applicable we may also provide growth measurements weight estimation. Whilst this information can be shared with your GP and Midwife, the content should NOT be used for medical reference. I understand that that I am responsible for the correct payment of all fees in full at the end of the ultrasound examination. I/We hereby acknowledge that the procedure has been fully explained to my satisfaction and give our full informed consent to carry out the examination and have read and understood the above information. We cannot provide your prenatal care and as such you must have arrangements of this care elsewhere i.e. NHS. This scan aims to achieve the primary purpose as set out on our website and information sheets and is purely complimentary and is in no way replacing the scan(s) appointed by the NHS / your prenatal care provider. This test, as with other tests, cannot guarantee detection of abnormalities & is not 100% definitive. If, however any abnormalities are detected during the scan you are strongly advised to attend your GP at the earliest opportunity. 3D/4D/HD bonding scans are NOT a diagnostic procedure and not performed for medical purposes. As such I understand that the practitioner(s) or TSC will not interpret the images/video from the scan and will not be actively screening for problems or abnormalities. Suitable keepsake 3D/4D imagery is defined as varying facial profiles, not limited to face on, combined with imagery of hands and feet where achievable. Images can vary greatly with each pregnancy as such TSC will not warrant the replication of any previous scan imagery the client may wish to make comparison to. The Practitioners professional opinion as to the suitability of the imagery obtained is final.
Medical Scan General Terms and Conditions
I have been explained the procedure fully & to my satisfaction and hereby give my informed consent for the examination(s) stated on reverse. I understand that this test, as with other tests, has limitations which cannot guarantee detection of abnormalities and is not 100% definitive. I understand that the result of this test will be provided to me and a copy may be sent to my GP/Health Care Professional should the need arise, details of which I have provided above. I also understand that it is my responsibility to seek further advice from my GP/Medical Practitioner for any normal or abnormal findings. I also understand by signing this document I am waiving any responsibility or liability by TSC or the practitioner, including but not limited to any future diagnosis which may be made later from the images taken during this procedure. I understand that any dissatisfaction with the service/image(s)/video(s)/product(s) must be brought to the attention of TSC before leaving the clinic or within 48 hours of your scan. TSC will not be held responsible after this time. All images are property of TSC. I understand that I am responsible for the correct payment of all fees in full at the end of the ultrasound examination. I hereby acknowledge that the procedure has been fully explained to my satisfaction & give my full informed consent to carry out the examination & have read & understood the information on reverse. This scan requires that we take your GP / health care professional’s (HCP) details. We will ONLY contact them if required and with your permission. Failure to agree or provide correct GP / HCP details negates TSC and associated partners of any responsibility or liability for any injury, loss or damage incurred because of any use or reliance upon the report issued for the ultrasound examination. All information provided will remain strictly confidential in conjunction with Data Protection Act 1998. This information will only be used if our qualified staff deem necessary, i.e. To contact your regular healthcare provider.
Blood Test and Screening Terms and Conditions
I have been explained the procedure fully & to my satisfaction and hereby give my informed consent for the tests to be carried out by TSC and/or any staff acting on behalf of TSC as stated on reverse. I understand that TSC will not be analyzing and/or testing any samples provided in any way nor will they be responsible for interpreting any results. I understand that it is solely my responsibility to seek medical advice from my GP/Medical Practitioner for the interpretation and further management of the result(s) & any normal or abnormal finding(s). I agree for my sample(s) & personal information to be passed onto to TDL where TDL will analyze and examine the sample(s) & make use of your personal information accordingly in line with Data protection policies. TSC shall not be held liable and I shall indemnify and hold TSC harmless from the following: any and all claims, actions, causes of action, losses, liabilities, damages, costs and expenses, including reasonable Legal fees arising out of any damage or loss to persons including death, and whether based on tort, contract, strict liability or other theory or cause of action, that was caused or alleged to have been caused by any errors, omissions, mishandling, misinterpretation in the handling, analysis, reporting of the sample or by the act of taking the Samples from myself performed by TSC or by the improper analysis or usage of the information included in the Report by TSC. I also agree for TSC to share my personal information with TDL for the purposes of the test(s). Definitions: - TSC: The Scan Clinic, TDL: The Doctors Laboratory.
The information I have provided above is accurate and true. I consent to having my blood taken for the purposes of this test and have been explained the procedure to my satisfaction and hereby give informed consent for the venepuncture to draw blood from my body and for the products to be sent away for analyses and testing. I understand that there is a small risk that accompanies any blood test including bruising or minor swelling at the site, light headedness or dizziness, excessive bleeding, haematoma and rarely infection. I also understand that the scan clinic (TSC) will not directly be analysing and/or testing any samples provided in any way nor will they be responsible for interpreting the results. I understand it is solely my responsibility to seek medical advice from my regular healthcare provider for the interpretation +/- further management of the results and any normal / abnormal findings.
For the purposes of this test the scan clinic will need to share some of your personal information, test information and blood sample with a third party pathology laboratory (named below) where the 3rd party laboratory will use the given information and blood sample for analysis and forming a report. Your personal information will only be used accordingly in line with Data protection policies.
TSC shall not be held liable and I shall indemnify and hold TSC harmless from the following: any and all claims, actions, causes of action, losses, liabilities, damages, costs and expenses, including reasonable legal fees arising out of any damage or loss to persons including death and whether based on tort, contract, strict liability or other theory or cause of action, that was caused or alleged to have been caused by errors, omissions, mishandling, of the information included in the pathology report provided.
The price for the Service will be the price stipulated at the time of booking. Bookings for the Scan are allotted a specific time slot. Whilst every effort is made to ensure the Scan is carried out at the allocated time, appointment times cannot be guaranteed. I understand TSC accept no responsibility for any injury, loss or damage to personal effects howsoever caused whilst customers are on the premises. TSC will not be responsible or liable for any incidental or consequential loss or damage: (a)Caused by any act or omission by TSC or its employees, servants or agents (b) Suffered by any person acting or failing to act because of the contents of any scan or any information supplied in connection with the Scan. Nothing in this clause shall exclude or restrict any liability for death or personal injury arising from the negligence of The Scan Clinic. TSC reserves the right to modify the service without notice from time to time. If, by doing so, the service is materially different then you will have the right to cancellation. Any offer(s) cannot be used in conjunction with any other offer or promotion. All scans require that we take your GP / health care professional’s (HCP) details. We shall not be able to provide you with the service if you fail to provide your GP details. All pregnancy scans require you to bring your maternity notes at your appointment. If you do not present TSC with your maternity notes at the appointments, then we require you to complete an additional disclaimer form and will not be able to issue you with a written report until evidence of maternity care is provided. We will ONLY contact your GP if required & with your permission. We do not share ANY information with third parties. Failure to agree or provide correct GP / HCP details negates TSC and associated partners of any responsibility or liability for any injury, loss or damage incurred because of any use or reliance upon the report issued for the ultrasound examination. We may in certain circumstances require medical notes. If this is applicable you shall be made aware of this. Medical notes must be clear, legible and written in English. Failure to provide such notes may result in a delay to the service or report being provided. TSC reserves the right to modify the service without notice from time to time. If, by doing so, the service is materially different then you will have a right of cancellation. TSC will not be responsible for any breach of this contract caused by circumstances beyond its reasonable control. This contract is governed by the laws of England and Wales and is the entire contract between you and TSC. The Scan Clinic is Incorporated in England & Wales No. 07840544, 7 Redbridge Lane East, IG4 5ET.