ASTRA DENT LIMITED LIABILITY COMPANY IN WARSAW

§1. Regulations

  1. These regulations (hereinafter referred to as the “Regulations”) define the organization, procedures for the provision of medical services, goals and objectives, organizational structure, type and scope of provided medical services, and other important matters related to the operation of the medical facility operating under the name Astra Dent Limited Liability Company, located at: ul. Świętokrzyska 20, 00-002 Warsaw, NIP: 5273028129, entered into the National Court Register maintained by the District Court for the City of Warsaw in Warsaw, 13th Commercial Division of the National Court Register, KRS: 0001002352 (hereinafter referred to as the “Medical Facility”).
  2. These Regulations fulfill the obligation set out in Article 24 of the Act on Medical Activity.

§2. Legal Basis for the Operation of the Medical Facility

  1. The Medical Facility is an entrepreneur within the meaning of the Act of 6 March 2018 “Entrepreneurs’ Law”.
  2. The Medical Facility is entered in the Register of Entities Performing Medical Activity under number: 000000270100.
  3. The Medical Facility carries out its medical activity under the name specified in §1 above.
  4. The operation of the Medical Facility is based on:
    1. a) the Act of 15 April 2011 “On Medical Activity”;
    2. b) the Act of 5 December 1996 “On the Professions of Doctor and Dentist”;
    3. c) the Act of 6 November 2008 “On Patients’ Rights and the Patient Ombudsman”;
    4. d) implementing acts to the aforementioned laws;
    5. e) the Act of 15 September 2000 “Commercial Companies Code”;
    6. f) the Company’s Articles of Association dated 21.10.2022;
    7. g) these Regulations.

§3. Objectives, Tasks, and Type of Activity

  1. The activity of the Medical Facility is aimed at performing medical activity in the form of outpatient healthcare and health protection measures in the field of dentistry.
  2. The Medical Facility performs medical activity within the scope of outpatient medical services.
  3. The Medical Facility provides medical services in the field of dentistry concerning teeth, the oral cavity, skin, and adjacent areas.
  4. The Medical Facility performs the following tasks:
    1. a) Diagnostics;
    2. b) Treatment;
    3. c) Provision of individual consultations;
    4. d) Provision of individual recommendations;
    5. e) Promotion of health;
    6. f) Cooperation with other medical facilities.

§4. Provision of Medical Services

  1. All services provided by the Medical Facility are performed by qualified personnel with the utmost care and respect for patients’ rights.
  2. The Medical Facility provides medical services on a paid basis in accordance with the price list available at the Facility’s reception. When determining the amount of payment, the costs of medical staff, complexity of the service, use of equipment and medical devices, cost of materials used, and duration of the service are taken into account.
  3. The final price of medical services depends on the specific circumstances of each case (type and scope of the service) and is determined by the attending physician in agreement with the patient and/or their legal representative.
  4. Treatment costs are payable at each visit. In some cases, the patient may be required to make an advance or prepayment, which will always be communicated by the attending physician.
  5. In the case of medical services provided to minors where it is impossible to fully perform the service due to the child’s unwillingness to undergo certain procedures after several attempts (and lack of consent from parents/legal guardians), the parents and/or legal guardian are required to pay for the visit according to the applicable price list (regardless of the unsuccessful completion of the visit).
  6. Medical services are provided by individuals who are authorized and practice as dentists and/or dental hygienists. These persons hold valid professional licenses and qualifications and meet health requirements.
  7. Medical services are provided to patients in accordance with applicable standards and in conditions that comply with the law, prioritizing patient well-being and safety.
  8. Persons providing medical services are obliged to act in accordance with applicable law, principles of professional ethics, and current medical knowledge.
  9. The Medical Facility and its personnel are obliged to continuously improve their qualifications and the quality of services provided.
  10. Medical services are provided only after obtaining prior consent from the patient (or legal representative) for a specific service.
  11. A medical service is provided on the basis of an agreement concluded with the patient and/or their legal representative.
  12. Patients are required to register in advance for visits. Patients must adhere to the scheduled dates and hours of service. If unable to attend, the patient must immediately notify the Medical Facility.
  13. Patient registration is carried out in person at the Medical Facility or by phone.

14. When registering for a visit, patients are required to provide identifying information.

15. Medical services are provided in the established and registered order. In cases of extreme necessity or an immediate threat to life or health, the physician may decide to provide services out of turn.

16. The Medical Facility will make every effort to adhere to agreed appointment times.

17. In exceptional circumstances, the Medical Facility may extend appointments and/or cancel other visits related to the provision of a medical service. This may involve rescheduling to the same or another date. The Medical Facility will immediately inform the patient and/or their legal representative of any changes. The patient has the right to request the service at a chosen time by another doctor, provided it is organizationally feasible.

18. Before providing any medical services, the doctor is obliged to interview the patient and/or their legal representative. The questions aim to identify the patient’s needs.

19. If necessary, the doctor refers the patient for specialized diagnostic examinations. The doctor is obliged to inform the patient and/or their legal representative about the scope of the tests and possible risks or complications.

20. In certain cases, the doctor has the right to refuse to provide a medical service for medical reasons. In such cases, this shall not be deemed the fault of the Medical Facility. Any advances paid will be used to cover the costs of services already rendered; if actual costs exceed the advance amount, the patient must pay the difference.

21. After diagnostic examinations referred to in point 19, the patient has the right to continue receiving medical services.

22. Based on the medical interview and/or diagnostic results, the doctor informs the patient and/or their legal representative about the direction of treatment, the services included or potentially included, the level of risk, and possible complications. The doctor must also inform the patient and/or legal representative about the total cost and expected duration of treatment, noting that both may change depending on the patient’s health condition or other circumstances affecting proper service delivery.

23. The patient and/or legal representative have the right to obtain information about the patient’s health condition at any time. Such data may also be provided to persons previously authorized to receive it. The Medical Facility processes patient data in accordance with applicable law.

24. The patient and/or legal representative have the right to withdraw the consent referred to in point 23 at any time.

25. Patients aged 16–18 years have the right to full information about their health, diagnosis, and proposed treatment methods.

  1. Before starting any treatment, a patient aged 16–18 must provide informed consent. If the person is capable of making decisions, their consent is decisive.
  2. Patients aged 16–18 may independently seek medical services, provided that their parents/legal representatives give consent. In the case of high-risk services, written consent must be provided each time, otherwise the service will be refused.

§5. Organisational Structure

  1. The medical facility is managed by the management of the medical facility within the meaning of the Act on Medical Activity of 15 April 2011.
  2. Within the scope of the medical facility, there operates an establishment named Astra Dent Stomatologia, ul. Świętokrzyska 20 (hereinafter: the Establishment).
  3. Within the Establishment, there operates a structural unit Astra Dent Stomatologia, ul. Świętokrzyska 20 (hereinafter: the Structural Unit).
  4. Within the Structural Unit, organisational entities operate, which define the specialisation and are included in Part VIII of the System of Identification Codes.
  5. The organisational entities include the following departments:
    1. a) 1800 Dental Outpatient Clinic;
    2. b) 1801 Children’s Dental Outpatient Clinic;
    3. c) 1810 Periodontology and Oral Mucosa Diseases Outpatient Clinic;
    4. d) 1820 Orthodontic Outpatient Clinic;
    5. e) 1821 Children’s Orthodontic Outpatient Clinic;
    6. f) 1830 Prosthetic Outpatient Clinic;
    7. g) 1840 Oral Surgery Outpatient Clinic;
    8. h) 31 Radiology and Diagnostic Imaging;
    9. i) 107 Health Promotion and Medical Education;
  6. The medical facility provides outpatient medical services at the Establishment, ul. Świętokrzyska 20, on the following days and hours:
    1. a) Monday – Friday: 9:00–21:00
    2. b) Saturday and Sunday: 9:00–18:00

7. The following positions exist within the facility:

  1. a) Management – the Management Board of the medical facility;
  2. b) Medical Director – a doctor appointed by the Management Board who manages the facility;
  3. c) Physicians;
  4. d) Dental Hygienists;
  5. e) Dental Assistants;
  6. f) Sterilisation Technician;
  7. g) Electroradiology Technician;
  8. h) Administrative Staff;

§6. Organisation and Tasks of Individual Units and Departments

  1. The structural units and organisational entities within the Establishment, as well as the individuals forming part of the organisational structure, cooperate in order to:
    a) ensure the proper and efficient functioning of the medical facility;
    b) guarantee accessibility and proper provision of medical services;
    c) achieve the goals and objectives of the medical facility.
  2. The organisational entities perform the following tasks:
    1. a) Observing patients’ rights;
    2. b) Maintaining medical records in accordance with legal requirements;
    3. c) Providing medical services;
    4. d) Improving professional qualifications;
    5. e) Rational use of medical products in the provision of services;
    6. f) Other tasks provided for by law and related to the given specialisation.
  3. The main tasks of all organisational entities include:
    1. a) medical examination and consultation,
    2. b) diagnostic activities,
    3. c) provision of first emergency aid,
    4. d) dental prophylaxis,
    5. e) therapeutic dentistry services,
    6. f) prosthetic services,
    7. g) oral surgery services,
    8. h) paediatric dentistry,
    9. i) periodontology,
    10. j) orthodontics,
    11. k) implantology,
    12. l) maintaining medical documentation,
    13. m) radiology and diagnostic imaging,
    14. n) health promotion and medical education.
  4. Physicians are obliged to provide medical services to patients within their field of specialisation, in accordance with their competences, the current state of medical knowledge, ethical principles, and with respect for patients’ rights.
  5. The operation of the medical facility is managed by the Management Board of Astra Dent Sp. z o.o. The Management Board delegates managerial duties to the Medical Director, who is a doctor providing medical services at the Establishment.
  6. The duties of the Medical Director include cooperation with the Management Board in the development of the Establishment, staff, and medical product procurement; in addition, the Director is responsible for ongoing supervision of the facility, ensuring staff compliance with laws, reporting ethical violations, overseeing service quality, supervising employees, and ensuring respect for patients’ rights.
  7. To ensure proper treatment and diagnostic processes, the medical facility may refer patients to services not provided within the facility but necessary for medical care.
  8. The medical facility may cooperate with other medical institutions, conclude cooperation agreements, and provide specific medical services.

§7. Medical Documentation

    1. In accordance with the law, the patient has the right to access medical records concerning their state of health and the medical services provided.
    2. The medical documentation maintained by the facility complies with all legal requirements specified in Chapter 7 of the Act on Patient Rights and the Patient Ombudsman.
    3. Access to and provision of medical documentation is allowed only to persons expressly authorised (the patient, a legal representative, guardian, or another person authorised by the patient). Persons without written authorisation are not entitled to obtain any information about the patient’s health condition or treatment.
    4. Medical documentation is provided:
      1. a) by making a copy, printout, or extract;
      2. b) by allowing access, including in medical databases – on the premises of the Facility;
      3. c) through means of remote communication – by electronic means;
      4. d) on a durable data carrier;
      5. e) by issuing the original documents with confirmation of receipt, with mandatory return after use upon the request of state authorities, courts, or the facility.
    5. The Facility ensures proper protection of medical and non-medical data contained in the documentation.
    6. Documentation in paper form may be provided as a copy and/or scan, transmitted on a durable data carrier or by electronic means.
    7. The provision of medical documentation takes place at a pre-arranged time and after prior verification of the person reviewing the documents. The person granted access to the documentation has the right to make photocopies and notes.
    8. The provision of medical documentation takes place in the presence of an authorised employee of the medical facility.
    9. The medical facility keeps a register of the provision of medical documentation.
    10. For providing medical documentation, the medical facility charges a fee in the maximum amount determined each time in accordance with Article 28(4) of the Act on Patient Rights and the Patient Ombudsman. The fee is charged for providing medical documentation by way of extract, summary, copy, or printout, or on a durable data carrier.
    11. The fee referred to in item 10 above is not charged when medical documentation is provided to the patient, their legal representative, or guardian for the first time in the requested scope and in other cases provided for by applicable law.
    12. In the event of the patient’s death, medical documentation is provided to the legal representative or another person authorised by the patient.

§8. Complaints and Claims

The patient and/or their legal representative has the right to submit:

A complaint or claim regarding the medical services provided. The claim shall be reviewed by the medical facility without delay, no later than

14 days from the date of receipt of the application. The medical facility will contact the patient regarding the claim using the contact details provided in the application.

The response of the medical facility shall be provided in writing. The subject of a claim may concern either a medical matter (including a breach of patient rights) or an organisational (administrative) matter.

A claim may be submitted:

In person at the medical facility;

Via postal operator;

By e-mail: info@astradent.pl

By phone: +48 533 599 552

§9. Final Provisions

  1. This Regulation enters into force on 05.09.2024.
  2. All appendices to the Regulation constitute its integral part.
  3. The medical facility has implemented and adheres to Child Protection Standards, which can be accessed by scanning the QR code at the facility’s reception.
  4. The medical facility is friendly to children of all ages.
  5. The Regulation is available to the patient upon request at the facility’s reception, on the notice board, and on the website.
  6. In matters not regulated by this Organisational Regulation, the provisions of the applicable law of the Republic of Poland shall apply.
  7. No provision of the Regulation limits the patient’s rights as provided by applicable Polish law. In the event that such a provision is identified, the provisions of the applicable law shall prevail.