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  • Lithuanian

UAB FORMA PERFECTA
INTERNAL RULES OF PROCEDURE

3 May 2021
Kaunas

1. GENERAL PART

1.1. The internal rules of procedure of UAB Forma perfecta (hereinafter – the Clinic) (hereinafter – the Rules) define the general norms of behaviour of the Clinic staff, Patients and their visitors.
1.2. These Rules have been drawn up in accordance with the Law of the Republic of Lithuania on Health Care Institutions (No. I-1367 of 6 June 1996) with all its subsequent amendments, the Law of the Republic of Lithuania on Patients’ Rights and Compensation for Health Damage (No. I-1562 of 3 October 1996) with all its subsequent amendments (hereinafter referred to as the Law on Patients’ Rights and Compensation for Damage to Health) and the provisions of other applicable legal acts.
1.3. In its activities, the Clinic follows the applicable legal acts of the Republic of Lithuania, national and international standards of medical practice, the Statutes of the Clinic and other internal documents.
1.4. These rules must be followed by all Clinic staff, Patients, their representatives and visitors. Depending on the nature of the violations, persons who have violated the Rules may be subject to disciplinary, civil or other legal liability in accordance with the laws of the Republic of Lithuania in force.

2.   PROCEDURE FOR PATIENTS’ APPLICATION TO A MEDICAL INSTITUTION

2.1. Except for the provision of emergency medical care specified in Chapter 3 of the Rules, the Clinic provides personal health care services (both outpatient and inpatient) only to pre-registered Patients;
2.2. Patients can register for a visit to the Clinic:
2.2.1. upon arrival at the reception of the Clinic, at Sporto g. 3, Kaunas, during reception working hours;
2.2.2. by phone +370 626 88838, during reception working hours;
2.2.3. by submitting a request on the Clinic’s website www.ficlinica.lt;
2.2.4. by making a request on the Facebook and Instagram profiles of the Clinic’s social networks “ficlinica”;
2.2.5. by e-mail: info@ficlinica.lt or booking@ficlinica.lt
2.3. When making a request on the Clinic’s website, e-mail mail or social network profiles, the Clinic staff contacts the Patient within 1 (one working) day with the contacts specified by the Patient in the request, provides all the necessary information, and agrees on the date, time and purpose of the visit.
2.4. During the registration, the Patient is provided with information about the Clinic’s health care professionals, their qualifications, work schedule, types of services provided by the Clinic and prices. During registration, the Patient is given the opportunity to choose a specific health care professional, but Patients are informed that there may be cases when the Patient is not able to register with the health care professional of the Patient’s choice due to the peculiarities of this specialist’s work schedule at the Clinic.
2.5. Depending on the nature of the procedure for which the Patient is registering and the Patient’s preference, the Patient may be offered to register for a contact consultation/procedure or a remote doctor’s consultation at the time of registration. The procedure and conditions for providing remote consultations are set out in the rules of remote consultation of UAB Forma perfecta, which are available at the Clinic reception and on the website www.ficlinica.lt.
2.6. During registration, the Patient (or his/her representative) is requested to provide, among other things, the contact details of the Patient, which are stored and processed in accordance with the UAB Forma perfecta privacy policy and terms available at the reception of the Clinic and on the website at www.ficlinica.lt (hereinafter – Privacy Policy).
2.7. Minors or incapacitated persons are registered for health care services and accompanied to the Clinic for personal health care services by representatives of such persons.
2.8. Inpatient personal health care services at the Clinic are provided only to Patients who have concluded a personal health care service agreement with the Clinic. The agreement for personal health care services is concluded by means of communication or upon arrival at the Clinic. The general terms and conditions of the agreement for personal health care services are available at the reception of the Clinic and on the website www.ficlinica.lt.
2.9. Patients arrive at the Clinic for health care services (including Consultations, procedures, operations, other outpatient and inpatient personal health care services provided by the Clinic) only at the registered time. The Clinic does not guarantee that the agreed personal health care services will be provided if the Patient is late. It is recommended to come to the Clinic at least
2.9.1. 15 min before the registered time – when the Patient arrives at the Clinic for outpatient health care services, unless otherwise specified in the received SMS reminder;
2.9.2. 1 h 30 min before the registered time – when arriving at the Clinic due to inpatient health care services (surgeries, etc.), unless a different time of arrival is specified in the Clinic’s notification to the Patient about the planned health care services;
2.10. If the Patient is unable to come to the Clinic due to health care services at the registered time (due to illness or other reasons), he must notify the Clinic immediately, but not later than 24 h (twenty-four hours) before the recorded time. Such information is provided by telephone, by e-mail or in person at the Clinic. The agreed procedure and conditions for changing the date and/or time of inpatient personal health care services are provided in the personal health care services agreement concluded between the Clinic and the Patient. As to the change of the date/time of the registered outpatient health care services, the Patient or his/her representative must contact the Clinic Reception directly or by e-means of communication by which the identity of the applicant can be established.
2.11. If the doctor with whom the Patient has registered falls ill or for other reasons is unable to provide services to the Patient at the registered time, the Patient is informed about this by phone, short message, e-mail or other means of communication provided by the Patient, and the Clinic staff contacting the Patient agrees on a new registration time.
2.12. The Clinic aims to ensure that all Patients are admitted and provided with services at the time of registration and, in the cases described below, no later than 15 minutes after the registration time. The provision of personal health care may involve unforeseen circumstances and may result in a delay in the admission of the Patient or a delay in the service. If the Clinical Health care Professional with whom the Patient has registered has unexpectedly delayed in providing services to another Patient and the service cannot be provided to the Patient at the registered time, the Clinical Receptionist shall inform the Patient orally and offer the Patient to provide the service to the Patient at a later date (after freeing of the relevant health care professional) or shift the registration to the nearest available time.
2.13. Upon arrival at the Clinic, the Patient must first contact the reception for personal health care services. Except in cases of emergency medical care, the Patient must complete and/or provide the Clinic staff with the relevant documents and information:
2.13.1. to submit a document confirming the identity of the Patient, and in cases where the Patient is accompanied by his or her representative, documents confirming the identity of the representative and the basis for representation shall also be submitted;
2.13.2. to provide the Clinic’s specialists with known information about their health, diseases, operations performed, drugs used and consumed, allergic reactions, genetic heredity and other data known to the Patient, necessary for the proper provision of health care services;
2.13.3. in cases where the applicable legislation requires the Patient’s written consent to the relevant procedure, the Patient must confirm his/her knowledge of the health care services provided to him/her, his/her consent or refusal regarding the provision of such health care, as well as his/her knowledge of the Rules in writing.
2.14. In cases where the applicable legislation does not require the written consent of the Patient (including non-invasive physician consultations), the Patient who voluntarily enters the Clinic for health care and who has paid for the services (when the relevant service is paid for) is considered to be informed and agrees that the Clinic’s health care professional will examine him/her, assess his/her state of health, prescribe and perform the necessary examinations and treatment procedures, and that the Patient is deemed to have read the Rules, a copy of which is kept at the Clinic’s reception.
2.15. The Clinic has the right to refuse to provide health care if the Patient’s actions and/or behaviour violate the Patient’s obligations under the Law on Patients’ Rights and Health Compensation, contradict the principles of professional ethics or may endanger the Patient’s or doctor’s life, unless emergency medical care is provided.

3. SERVICES PROVIDED AT THE CLINIC, THEIR PRICES AND PAYMENT PROCEDURE. NOMENCLATURE AND RANGE OF FREE SERVICES, PROCEDURE FOR THEIR PROVISION

3.1. The Clinic provides inpatient and outpatient personal health care services provided for in the license issued to the Clinic by the State Accreditation Service for Health Care Activities under the Ministry of Health. The license of the Clinic is available on the website of the Clinic www.ficlinica.lt, as well as on the website of the State Accreditation Service for Health Care Activities under the Ministry of Health www.vaspvt.gov.lt.
3.2. Except for the following cases of emergency medical care, free and/or personal health care services paid for by the funds of territorial health insurance funds are not provided at the Clinic. Other services of the Clinic (except for emergency medical services) are reimbursable and Patients must pay for them in accordance with the procedure specified in the personal health care service agreement and/or these Rules.
3.3. Emergency medical assistance is provided to everyone who visits the Clinic, regardless of their place of residence and social guarantees. Pre-registration is not required when contacting the Clinic for emergency medical care. Emergency medical assistance is provided to the Patient immediately in accordance with the scope, procedure and conditions established by the Order No. V-208 of the Minister of Health of the Republic of Lithuania of 8 April 2004 “ON APPROVAL OF THE PROCEDURE FOR PROVIDING EMERGENCY MEDICAL CARE AND OF THE SCOPE”, with all its subsequent amendments. If the Clinic is not able to provide appropriate emergency medical care to the Patient in a timely manner or if the Clinic is unable to provide the emergency medical care to the Patient within its competence, it must inform the Patient and ensure that the Patient is transferred to another health care facility as soon as possible.
3.4. In cases when a personal health care service agreement is concluded, the price of services, the procedure and terms of payment shall be determined in the agreement.
3.5. In cases when a personal health care service agreement is not concluded, the Patient must pay the price indicated in the Clinic’s price list valid at the time of providing the services. The price list of the Clinic’s services is approved by the head of the Clinic and is available at the reception of the Clinic and on the website www.ficlinica.lt. The Patient must pay for the services immediately after the service is provided in cash or by bank card at the Clinic reception. If the Patient wishes to pay for the services specified in this Article by bank transfer, he must apply to the Clinic in advance. In this case, the Clinic provides the Patient with a pro-forma invoice and the Patient must pay the full amount indicated in the pro-forma invoice to the bank account specified in the pro-forma invoice by the scheduled date of the procedure. The Patient’s payment is considered to have been made properly if the relevant amount of money has been credited to the Clinic’s bank account before the end of the Patient’s visit to the Clinic.

4. PATIENTS’ RIGHTS

4.1. The Patient has all the rights provided to Patients in the Law on Patients’ Rights and Compensation for Health Damage and other applicable legal acts, including:
4.1.1. The right to quality health care services – the Patient has the right to quality health care services, the minimum quality indicators and requirements of their content are established by the Minister of Health. The Patient is also entitled to conditions that do not degrade his or her honour and dignity and to the respectful conduct of health care professionals. The Patient must be provided with science-based painkillers so that he does not suffer from his health problems. The Patient has the right to be cared for and to die with respect.
4.1.2. The right to choose a health care institution and a health care professional – the Patient has the right to choose a health care institution. The Patient has the right to choose a health care professional in accordance with the procedure specified in these Rules. By applying to the Clinic for health care services in accordance with the procedure specified in these Rules, the Patient confirms that he/she freely chooses the Clinic and the health care professionals working in it.
4.1.3. Right to information – the Patient has the right to receive information about the services provided by the Clinic, their prices and opportunities to use them, information about the health care provider (Name, Surname, position) providing his/her services and his/her professional qualification by submitting identity documents. documents – information about your health condition, diagnosis of the disease, other treatments or examinations used in the health care institution or known to the doctor, possible risks, complications, side effects, treatment prognosis and other circumstances that may influence the Patient’s decision to accept or refuse the proposed treatment, as well as the consequences of refusing the proposed treatment.
4.1.4. Right not to know – the Patient has the right to refuse to receive information about his/her health condition, diagnosis of the disease, other methods of treatment or examination used at the Clinic or known to the doctor, possible risks, complications, side effects, treatment prognosis. Refusal of information must be clearly stated and confirmed by a signature.
4.1.5. Right to access the records of one’s medical documentation – the Patient has the right to get acquainted with the records made in his/her medical documentation in accordance with the procedure specified in these Rules and to receive extracts from med. documentation. The right referred to in this paragraph may be restricted in cases specified by law;
4.1.6. Right to privacy – the Patient’s private life is inviolable. Information about the Patient’s life may be collected in accordance with the procedure established by the legal acts regulating the processing of personal data only if it is necessary for the diagnosis, treatment or care of the Patient. Data on the Patient’s presence in the Clinic, his/her state of health, diagnostic, treatment and nursing measures applied to him/her are recorded in the Patient’s medical records. All information about the Patient’s presence in the health care facility, treatment, medical condition, diagnosis, prognosis and treatment, as well as all other personal information about the Patient must be kept confidential even after the Patient’s death. Information to the Patient’s relatives and/or other persons about his/her health condition may be provided in accordance with the procedure specified in these Rules. The right to receive information after the Patient’s death belongs to the heirs according to the will and according to the law, the spouse (partner), parents, children.
4.1.7. Right to anonymous health care – Patients at least 16 years of age who suffer from the diseases specified in the “List of diseases in which patients at least 16 years of age have the right to health care services without disclosing their identity” approved by Order No. V-164 of the Minister of Health of the Republic of Lithuania of 22 February 2010 have the right to receive health care services without disclosing their identity in accordance with the procedure specified in the “Description of the Procedure for the Provision of Health Care Services without Identification” of the Minister of Health of the Republic of Lithuania of 22 February 2010.
4.1.8. Right to compensation – the Patient has the right to compensation in accordance with the procedure provided for in the Law on Patients’ Rights and Compensation for Health Damage and other applicable legal acts;
4.1.9. Patient participation in biomedical research and training process – a Patient may be included in biomedical research only with his/her written consent in accordance with the procedure provided for in the Law on Ethics of Biomedical Research. In case the Clinic provides training for health care professionals and the Clinic intends to involve the Patient in this process and use the Patient information for scientific and educational purposes, the Clinic must inform the Patient in writing and allow the Patient to express his or her disagreement that the patient and information about him/her would be included in the training process.
4.1.10. Right to complain – if the Patient (his/her representative) considers that his/her rights as a Patient have been violated, the Patient (his/her representative) has the right to apply orally or in writing to the Head of the Clinic, as well as to the state institutions exercising control and supervision of personal health care institutions established by legal acts.
4.2. The personal data of the Patient, his representatives and other persons indicated by the Patient who have the right to receive information about the Patient are processed in the Clinic in accordance with the General Data Protection Regulation (EU) 2016/679 (BDAR), the Law on Legal Protection of Personal Data (No. I-1374 of 11 June 1996, with all its subsequent amendments), the provisions of other applicable legislation in accordance with the terms and conditions of the Clinic’s Privacy Policy.
4.3. In addition to the rights provided for in these Rules, the Patient also has the rights specified in the personal health care service agreement concluded between the Clinic and the Patient.

5.    OBLIGATIONS OF PATIENTS

5.1. The Patient has all the obligations provided to Patients in the Law on Patients’ Rights and Compensation for Damage to Health and other applicable legal acts, including:
5.1.1. The Patient must become acquainted with the Rules submitted to him/her, other documents established by the health care institution and perform the duties specified therein.
5.1.2. The Patient must take care of his/her health, use his/her rights fairly, do not abuse them, cooperate with the specialists and staff of the Clinic.
5.1.3. The Patient must follow the appointments and recommendations of health care professionals or refuse assigned health care services. The Patient must inform the Clinic’s specialists about deviations from the appointments or established regimen for which he /she has given consent.
5.1.4. The Patient must treat all Clinic staff and other Patients, their visitors and other persons present at the Clinic with respect and appropriately.
5.2. The Patient must also:
5.2.1. handle Clinic equipment and inventory with care. Do not damage the Clinic inventory and other material valuables;
5.2.2. pay on time and in full for the services provided by the Clinic, in accordance with the terms of the personal health care service agreement and/or in accordance with the Clinic’s price list valid at the time of providing the services;
5.2.3. ensure that the electronic devices used in the Patient’s Clinic (telephones, tablets, computers, etc. and their charging accessories) are technically in order and do not endanger the Clinic’s premises, people and/or devices and other property;
5.2.4. follow the recommendations of personal hygiene and the staff of the Clinic for the control of infections and communicable diseases;
5.2.5. indemnify the damage caused to the property and/or health of the Clinic, its employees, other Patients or other persons.
5.3. Patients at the Clinic are strictly prohibited from:
5.3.1. storing and/or consuming alcoholic beverages, psychotropic substances and/or consume tobacco products in the Clinic and/or on its territory;
5.3.2. bringing in and/or keeping pets in the Clinic;
5.3.3. to use personal kettles, cafes or other similar household appliances;
5.3.4. without the permission of the Head of the Clinic filming and photographing the Clinic’s premises, staff, other Patients;
5.3.5. making noise, otherwise disturbing peace of mind of other Patients and/or people working in the Clinic and order;
5.3.6. visiting other Patients in their wards, without the consent of the Clinic staff and such Patients;
5.3.7. bringing weapons or dangerous substances to the Clinic or its territory;
5.3.8. for inpatients to leave the Clinic premises without the prior consent of the attending physician.
5.4. For a Patient who breaches his or her duties, thereby endangering the health and lives of himself or herself and other Patients, or obstructing their access to quality health care, the provision of health care may be terminated unless the life of the Patient is endangered. In the event of termination of the provision of services to a Patient who fails to perform his or her duties, the responsibility for his or her further health shall lie with the Patient himself or herself;
5.5. Patients’ representatives shall assist the minor or incapacitated Patients in exercising their rights and obligations by exercising the same rights as Patients and by performing the same duties, except for duties which, by their nature, can only be performed by the Patient.

6. PROCEDURE FOR VISITING, DISCHARGING AND TRANSFERRING PATIENTS TO OTHER PERSONAL HEALTH CARE INSTITUTIONS

6.1. Patients can visit the ward every day from 10 a.m. to 6 p.m. The time of Patients’ visits can be changed by the decision of the Head of the Clinic, which is announced at the Clinic’s reception and on the website www.ficlinica.lt.
6.2. Visitors to the Clinic must:
6.2.1. treat all Clinic staff and other Patients with respect and appropriately, not to discriminate or humiliate the honour and dignity of the staff of the institution, other Patients, visitors; respect their rights, not interfere with the work of the Clinic staff. Visitors who do not comply with these requirements may be expelled from the Clinic.
6.2.2. Outerwear must be left in the locker room.
6.2.3. Not disturb the Patient’s peace of mind (pay ATTENTION to the Patient’s regime, and avoid visiting the Clinic with young children)
6.2.4. It is recommended that the Patient have no more than two visitors at a time.
6.2.5. It is forbidden to bring food to the Patient.
6.2.6. During physician visits and procedures for Patients, visitors must leave the ward.
6.3. The Patient visited by the person who caused the damage is jointly and severally liable for the behaviour of the visitors and the damage caused by their actions, except in cases when the Patient is a minor or an incapacitated person.
6.4. Patients receiving inpatient care are discharged from the Clinic:
6.4.1. upon completion of the treatment and examination plan;
6.4.2. to continue outpatient treatment;
6.4.3. when transferred for treatment to other medical institutions;
6.4.4. for gross violations of the Rules.
6.5. When the Patient is discharged from the Clinic, all the necessary documents for the specific case are prepared and handed over to him, including but not limited to information about the implants used for treatment.
6.6. If the Patient’s medical condition requires additional treatment that is not available at the Clinic, the Patient may be referred to other health care facilities by prescribing, after explaining to the Patient where the Patient can receive such treatment, and the justification for such a decision.

7. PROCEDURE FOR SETTLEMENT OF DISPUTES AND CONFLICTS BETWEEN THE CLINIC AND PATIENTS

7.1. If the Patient considers that his/her rights have been violated in the Clinic, he/she has the right to submit a complaint to the Clinic not later than within 1 (one) year from the day he/she learns that his/her rights have been violated, but not later than within 3 years, when damage has been caused due to the violation of his or her rights, for which compensation is applied for in accordance with the procedure established by the Law on Patients’ Rights and Compensation for Damage to Health.
7.2. Complaints may be submitted upon arrival at the Clinic, at a distance (by registered mail or by courier to the Clinic’s address Sporto St. 3, Kaunas, Lithuania, sent by e-mail info@ficlinica.lt, or by other electronic means of communication ensuring the possibility of identifying the person making the complaint). When submitting a complaint directly to the Clinic, the Patient must submit his/her identity document, and when such a complaint is sent by the above-mentioned means of communication, it must be accompanied by a copy of the Patient’s identity document certified by a notary or Patient’s lawyer representing the patient. The complaint must indicate the Patient’s rights which, in his opinion, the Clinic has violated, the circumstances justifying them and the Patient’s demands to eliminate the violation of his/her rights. The complaint must be accompanied by documents (if the Patient has them) confirming the circumstances specified in the complaint and substantiating the claims specified in the complaint. If the complaint is made by the Patient’s representative, it shall also be accompanied by a document certifying the representation.
7.3. If the complaint is accompanied by incomplete or incorrectly executed documents that must be submitted with the complaint and/or they and/or the complaint does not contain complete information and/or information is inaccurate, the Clinic no later than within 3 working days from the receipt of the complaint shall indicate to the complainant the identified deficiencies and inform that upon failure to correct the deficiencies within 30 days from the date of informing the complainant of the identified deficiencies, the complaint will not be examined and the Patient will have the right to resubmit the complaint to the Clinic.
7.4. Complaints shall not be examined and shall be returned to the person who submitted them, stating the reasons for the return in the following cases:
7.4.1. the complaint is accompanied by not all or by incorrectly executed documents to be submitted with the complaint and/or they and/or the complaint contains incomplete and/or inaccurate information and the complainant has not complied with the requirement to correct deficiencies within the time limit referred to in paragraph 3 of this Article;
7.4.2. the complaint has been written illegibly.
7.5. The Patient has the right to apply to the State Accreditation Service for Health Care Activities under the Ministry of Health (www.vaspvt.gov.lt) with a complaint regarding the protection of his/her violated rights related to the availability and quality of the Clinic’s services, and to the State Health Insurance Fund under the Ministry of Health regarding his/her violated rights related to the compulsory health insurance, – to the Lithuanian Bioethics Committee – for the protection of his/her violated rights related to the compliance of personal health care services with the requirements of bioethics. The Patient has the right to apply to the institutions referred to in this part only if he/she does not agree with the decision of the Clinic made after the examination of his/her complaint, or if it is not accepted for examination by the Clinic, except for the cases referred to in 7.4. or if his /her complaint is not examined within the term specified in these Rules. In the cases referred to in this paragraph, the Patient shall also have the right to apply directly to the court, as well as to appeal to the court against the acts or omissions of the authorities referred to in this paragraph in dealing with his complaint.
7.6. The Clinic must examine the complaint and notify the Patient in writing or, if the complaint was submitted by the Patient’s representative, the Patient’s representative of the results of the examination no later than within 20 working days from the day of receipt of the complaint at the Clinic. The time limit for rectifying the deficiencies of the complaint specified in these Rules shall not be included in this term. Complaints are handled free of charge at the Clinic.
7.7. The provision of information about the Patient’s presence at the Clinic, health status, diagnosis, prognosis and treatment, as well as all other personal information about the Patient directly to the staff of the personal health care institution handling the complaint is legal and justified. Persons having access to the information referred to in this paragraph shall use it only for the purpose of examining the complaint and ensuring its confidentiality.
7.8. In order to obtain compensation, the Patient or another person specified in the Law on Patients’ Rights and Compensation for Damage to Health may apply to the Commission for Determination of Damage Caused to Patients’ Health (https://sam.lrv.lt/lt/darbo-grupes/pacientu-sveikatai-padarytos-zalos-nustatymo-komisija) in accordance with the procedure and deadlines established in the Law on Patients’ Rights and Compensation for Damage to Health which is a mandatory pre-trial institution for damages.
7.9. The Patient can express his/her opinion (including anonymous) about the work of the Clinic and/or its staff by submitting feedback on the Clinic’s website www.ficlinica.lt.
7.10. Anonymous complaints (complaints that do not include the applicant’s personal data and contacts) are investigated depending on the significance of the circumstances set out in the complaint. Decisions on such complaints are made by the Head of the Clinic, and no answers to such complaints are provided.

 8. PROCEDURE FOR PROVIDING INFORMATION TO THE PATIENT AND THEIR RELATIVES ABOUT THE HEALTH STATUS

8.1. Information about the Patient, including information about the Patient’s presence in the Clinic, his state of health, diagnosis, prognosis and treatment applied (hereinafter – Patient Information) may be provided to the following persons:
8.1.1. the Patient himself;
8.1.2. the Patient’s representative;
8.1.3. to the person indicated by the Patient in writing as the person to whom the Patient’s Health Information may be disclosed;
8.1.4. persons who have the right to receive such information in accordance with the procedure established by legal acts.
8.2. The Patient’s heirs have the right to receive information about the Patient after the Patient’s death.
8.3. Information about the Patient is provided in accordance with these Rules and the “Description of the information about the Patient and the services provided to him/her” approved by the Clinic, which is available at the Clinic’s reception and on the website www.ficlinica.lt (hereinafter – the Description of Information Provision). The Clinic also follows the applicable legislation when providing Patient Information.
8.4. Oral Information on the Patient to a person entitled to receive Information is provided immediately upon arrival at the Clinic or by electronic means (telephone and/or other means of communication) if it is possible to identify the contacting person.
8.5. Representatives, acting on behalf of the Patient, must provide proof of representation and their own identity documents.

9. PROCEDURE FOR MAKING COPIES OF HEALTH RECORDS, OUTPATIENT CARDS, OTHER DOCUMENTS TO THE PATIENT AND OTHER NATURAL AND LEGAL PERSONS

9.1. At the request of the Patient, his/her representative or other persons entitled to receive Information about the Patient, upon submission of the application and identity documents, the Clinic shall make and issue copies of the Patient’s medical documents, as well as diagnosis and treatment descriptions (written information). This Patient’s right may be restricted only in accordance with the procedure established by the laws of the Republic of Lithuania.
9.2. Copies of medical documents shall be issued free of charge to the Patient, his/her representatives or other persons entitled to receive such information.
9.3. The procedure for submitting a request for copies of medical documents, the procedure and deadlines for making and issuing copies of medical documents, as well as cases when the Clinic may refuse requests for copies of medical documents are set out in the Description of Information Provision available at the reception of the Clinic and on the website www.ficlinica.lt.

10. CLINIC WORKING HOURS

10.1. Clinic reception working hours: Monday to Friday from 08:00 a.m. to 7:00 p.m.
10.2. Patients are admitted to the Clinic for scheduled procedures (including inpatient services) at the hours specified in Article 10.1 of the Rules.
10.3. The staff of the inpatient department of the Clinic and the emergency services work in a continuous mode (24 hours a day, all week).
10.4. Other working hours of the Clinic, its separate departments or employees may be temporarily determined by the decision of the Head of the Clinic. Changes in the Clinic’s working hours are immediately reported at the Clinic’s reception and on the website www.ficlinica.lt.

11. PROVISIONS OF LAWS, OTHER LEGISLATION AND REGULATORY DOCUMENTS GOVERNING OCCUPATIONAL SAFETY  

11.1. The work of the Clinic is organized in accordance with the provisions of the Law on Occupational Safety and Health of the Republic of Lithuania (No. IX-1672 of 1 July 2003) and other applicable legal acts regulating occupational safety, fire safety and civil safety, as well as the Clinic’s internal procedures and safety instructions.
11.2. Only technically fit work equipment that meets safety and health requirements may be used in the Clinic. Employees are provided with individual safety equipment, trained and instructed to work with harmful and dangerous substances in accordance with the procedure established by the Law on Occupational Safety and Health of the Republic of Lithuania.
11.3. In performing their duties, the staff of the Clinic must:
11.3.1. be able to work safely, know and comply with the requirements of occupational safety and health instructions;
11.3.2. comply with the rules of operation of medical devices; not to work with technically unfit work equipment and to inform the Director of the Institution thereof;
11.3.3. use personal protective equipment;
11.3.4. take measures and, as far as possible and within their competence, eliminate the causes of accidents, inform the Director of the Institution immediately.
11.3.5. comply with the provisions of laws, other legal acts and normative documents regulating work safety, as well as the requirements of the relevant hygiene and medical norms.
11.4. Patients, their representatives and visitors must:
11.4.1. follow the instructions of health care professionals on the issues of safe behaviour, environmental protection and fire safety, to immediately inform the employees of the Institution about the circumstances that may affect other Patients or employees of the Institution;
11.4.4. avoid actions that could endanger his or her health and the lives of others;
11.4.3. take all precautions when handling surfaces that have recently been wet cleaned or that contain spilled liquids or spills;
11.4.4. when moving in the ward or corridors at night, the Patient must beware of obstacles and use the night lighting system (when installed). Where necessary, the use of health professionals is essential;
11.4.5. upon noticing any abnormal operation of the equipment in the premises (increased noise, vibration, temperature rise, specific odour, etc.) inform the Clinic staff immediately;
11.5. Patients, their representatives and visitors to the Clinic are prohibited to:
11.5.1. use the medical or household equipment in the Clinic, except for the equipment for the use of which the Clinic staff has a permit. It is forbidden to leave the equipment unattended, except for the one that has or can be switched on permanently;
11.5.2. use visually technically untidy electrical equipment: exposed parts with live voltage, damaged power cord insulation, switch or plug. Self-rectify any equipment faults.
11.5.3. touch the switched-on electrical device, cord, socket, plugs with wet hands, clean them with a damp cloth. It is not permitted to remove the plug from the socket by pulling by the wires, use a socket that is not suitable for the appliance plug or a technically untidy (cracked, sparkling) socket.
11.5.4. touch at the same time with body parts to grounded parts (central heating radiators, pipes, etc.) and electrical equipment, open electrical panels, power cabinets.
11.5.5. change the position of the equipment and furniture in the ward or other premises of the Clinic, narrow the gaps between the bed and the walls and between the beds, etc.

12. PROCEDURE FOR REGISTRATION AND STORAGE OF PATIENT’S ARTICLES AND PRECIOUS METALS, PRECIOUS PROSTHESES AND MONEY

12.1. Patients are not recommended to bring larger amounts of cash, expensive, personal items and articles of precious metals (hereinafter – valuables) to the Clinic.
12.2. Before performing procedures during which a certain degree of unconsciousness is possible, the Patient may transfer sums of cash, expensive personal items, prostheses and articles of precious metals (hereinafter – valuables) to the Clinic. In this case, a list of valuables to be transferred is drawn up and signed by the Clinic employee and the Patient or his/her representative. One copy of the list is provided to the Patient, and the other, together with the valuables handed over for storage, is handed over for safekeeping in the safe at the Clinic. After the procedure, when the Patient requests the valuables, the valuables are returned to the Patient by signing the list that the valuables have been returned to the Patient.
12.3. If the Patient’s condition suddenly deteriorates and becomes critical, during operations and interventional treatment and diagnostic procedures, or the Patient dies, the Clinic staff has the right to take valuable items found for storage on the Patient’s own initiative. Items are taken by making a list of valuables, which is signed by the chief nurse and attending physician, during on-call time – by the on-call physician and general practice nurse, and transferred for safekeeping to the Clinic’s safe. When the Patient’s condition improves valuables are returned to the Patient (in the event of the Patient’s death, to the Patient’s representative or heirs) by signing the list that the valuables have been returned. The Patient’s representative or heir accepting the returned valuables must provide documents proving the identity of the person and the basis of the representation.
12.4. The Clinic is not responsible for valuables stored outside the Clinic safe.
12.5. In the event of a dispute over the storage and return of valuables, the Patient must contact the Clinic administration.

13. FINAL PROVISIONS

13.1. These Rules come into force from the date of their approval and are published on the Clinic’s website: www.ficlinica.lt. The Rules are also available at the reception of the Clinic.
13.2. The Rules replace all previous versions of the internal rules of UAB Forma perfecta.
13.3. The Rules may be changed by the decision of the Head of the Clinic by publishing a new version on the Clinic’s website: www.ficlinica.lt.