Internal rules of procedure

General provisions

1. Axioma Dental’s (hereinafter - ‘Clinic’) internal rules of procedure for visitors and patients (hereinafter - ‘Rules’) comprise an administrative legal document regulating the conduct of a visitor or patient in accordance with the Russian laws in the area of health care, as well as other issues which may arise between legally involved parties, i.e. a patient (or their representative) and the Clinic.
2. These Rules are mandatory for the clinic’s staff and patients, as well as other persons visiting the clinic and have been established for the purpose of exercising patients’ rights as set forth by law and creating the most favorable conditions for providing patients with timely medical services of a proper scope and quality.
3. On the clinic’s premises, it is not allowed:
   • to stay inside wearing outer clothing and without a change of shoes (or shoe covers);
   • to smoke on the clinic’s premises;
   • to drink alcohol, take narcotics, psychotropic or toxic substances;
   • to enter the premises while being under the influence of alcohol, narcotic or toxic substances, except when urgent medical assistance is required or medical emergencies;
   • to use the clinic’s office telephones.

   In addition, pursuant to:

   Clause 1, Article 13 of Federal Law 323, ‘Information regarding the fact that a citizen has been seeking medical aid, their state of health and diagnosis, as well as other data obtained during their medical examination and treatment, constitutes doctor patient confidentiality’.

   The possibility of citizen and clinic identification in total constitutes doctor-patient confidentiality under the protection of law; in accordance with RF Presidential Edict No. 188 of 06.03.1997 ‘On the Approval of the List of Confidential Information’, doctor patient confidentiality is included in the list of confidential information with restricted access in accordance with the Constitution of Russia and federal laws.

   A medical organization is obliged to uphold doctor patient confidentiality (clause 4, article 79 of Federal Law No. 323).

   Article 137 of the Criminal Code of Russia makes it a criminal offence to collect and disclose private information of a person, constituting their personal or family secret, without their permission, which is punishable by:

   "<...> up to 2 years of prison sentence with deprivation of the right to hold specific posts or pursue certain activities for up to 3 years.

   <...> for the same offences committed while exercising the powers vested in them by virtue of their office:

   Up to four years of prison sentence with deprivation of the right to hold specific posts or pursue certain activities for up to 5 years.’

   Axioma Dental Clinic’s visitors and patients are not allowed to take photos or record videos.

4. When seeking medical aid at the clinic, the patient must:
   • Observe quietness, cleanliness and order;
   • Adhere to fire safety rules. If detecting a fire or other sources posing a danger to public safety, the patient must immediately inform the personnel on duty;
   • Comply with the requirements, recommendations and guidelines of the attending doctor;
   • Be cooperative with the attending doctor at all stages of receiving medical assistance;
   • Sign required documents:
   • A paid medical services contract within the scope of paid medical services;
   • An informed voluntary consent form;
   • If refusing treatment, sign a notice of refusal or termination of medical intervention following the established procedure;
   • Treat medical personnel with respect;
   • Be polite and respectful towards other patients;
   • Take due care of the clinic’s and other patients’ property;
   • Pay for medical services if they a provided on a paid basis;
   • When applying under a private health insurance scheme, pay for medical services which are not covered by insurance;
5. Failure to comply with these rules has a negative effect on the treatment process, making proper medical aid impossible. A patient in breach of these rules will be refused medical aid unless doing so jeopardizes the patient’s life and the health of surrounding people.
6. The following acts will be regarded as non-compliance:
   • missing visits, (failure to attend) or not coming to a dental appointment or a procedure at the scheduled time (being more than 10 minutes late);
   • Failure to follow the doctor’s prescriptions and recommendations;
   • Being rude to or disrespectful of the clinic’s staff;
   • Taking medication arbitrarily;
   • An unapproved departure from the clinic before a course of treatment is complete;
   • Receiving concurrent treatment at another clinic, which influences the course of treatment agreed between the patient and the clinic and which has not been agreed with the attending doctor.