Public service agreement

Experio Limited Liability Company, acting on the basis of a state registration certificate (Service Name - "Experio Center for Psychotherapy, Psychosomatics and Psychedelic Medicine", hereinafter referred to as the Medical Center), on the one hand, and an individual (hereinafter referred to as the Patient) who has applied to the Medical Center for medical and psychological services (hereinafter referred to as the Services), hereinafter referred to as the Parties, and each individually as a Party, have entered into this Public Agreement (hereinafter referred to as the Agreement) as follows:

1. Subject of the agreement

1.1. The Medical Center, in accordance with the procedure and on the terms and conditions specified in this Agreement, undertakes to provide the Patient with the Services provided for in the Price List based on the Patient's oral or written request, and the Patient undertakes to accept and pay for the services provided.

1.2. Services are provided in accordance with industry standards in the field of health care and/or local protocols of medical and psychological care approved in accordance with the established procedure. The quality of the services provided must comply with the requirements of Ukrainian legislation.

1.3. Services are provided in accordance with the Patient's Informed Voluntary Consent for diagnosis, treatment and anesthesia, which is drawn up in the form established by the legislation of Ukraine before the first medical service is provided.

1.4. The Medical Center guarantees that all information about the Patient containing medical and/or other confidential secrets will be used in accordance with the principles of observance of such secrets and in accordance with the requirements of the legislation of Ukraine and international laws.

2. Rights and obligations of the Parties

2.1. Rights of the Medical Center:

2.1.1. For payment for services rendered;

2.1.2. Refuse to provide medical services in case of violation of the terms of this Agreement by the Patient.

2.1.3. Take photos and/or videos of the process of providing services and further use the impersonal results of such recording for scientific, educational, advertising, marketing, and other purposes that do not contradict the legislation of Ukraine.

2.1.4. If information about the Patient's illness may worsen the Patient's health or harm the treatment process, the Medical Center has the right to provide incomplete information about the Patient's health status, to restrict the possibility of familiarization with certain medical documents.

2.2. Responsibilities of the Medical Center:

2.2.1. Provide the Patient with services of appropriate quality in accordance with the procedure and on the terms and conditions specified in this Agreement.

2.2.2 Use medicinal products and medical devices authorized or not prohibited for use in Ukraine.

2.2.3. Maintain and store medical records and reports in accordance with the requirements of the legislation of Ukraine.

2.2.4. To keep medical secret in accordance with the provisions of the current legislation of Ukraine.

2.3. Patient's rights:

2.3.1 Receive services of proper quality.

2.3.2. Receive accurate and complete information about his/her health status, including familiarization with the relevant medical documents related to his/her health, which are stored at the Medical Center.

2.3.3 Receive accurate and complete information about contraindications, possible complications and risks (including for life and health), and a prognosis of possible disease development when receiving medical services.

2.3.4. Request replacement of the attending physician or psychologist.

2.3.5. To have the right to keep medical secrecy about his/her health status, the fact of seeking medical care, diagnosis, as well as information obtained during his/her medical examination.

2.3.6. Receive accurate and complete information about the terms of provision, content, scope and cost of services

2.4. Responsibilities of the Patient:

2.4.1. Strictly follow the oral or written instructions and recommendations of the doctors and psychologists of the Medical Center.

2.4.2. Provide originals or copies of documents containing information about their health status that are necessary for the Medical Center to provide services.

2.4.3. To pay the cost of services in the manner and on the terms and conditions specified in this Agreement.

2.4.4. To arrive at the place of service provision on the date and time of service provision determined in accordance with clause 3.2. of this Agreement.

2.4.5. Prior to the provision of medical services, inform the Medical Center of the entire list of medicines used by the Patient, as well as of all known diseases, defects, allergic or specific reactions to medicines and food, and other relevant information about his/her health status.

2.4.6. In case of violation or inability of the Patient to comply with the Treatment Plan, if such was provided to the Patient, notify the Medical Center.

2.4.7. To inform the Medical Center about the improvement or deterioration of health, the appearance or disappearance of symptoms and other information about changes in their health status during the treatment period.

3. Procedure for providing and accepting services

3.1. Services are provided by employees of the Medical Center or invited consultants who have the appropriate special education and meet the uniform qualification requirements in accordance with the legislation of Ukraine.

3.2. Services are provided by appointment to the Medical Center. When making an appointment, the Patient may choose the day and time of the appointment from the available places in the schedule. Provision of services without an appointment is possible only in cases where there are no other Patients with an appointment at that time.

3.3 Before the start of the service, the administrator of the Medical Center, the attending physician or psychologist shall inform the Patient of the list, composition and cost of all services. The attending physician or psychologist shall verbally agree with the Patient on the list and cost of services to be provided by the Medical Center.

3.4. The date and time of the service may be changed at the initiative of the Patient before the deadline for the provision of such service.

3.5. The date and time of the service may be changed at the initiative of the Medical Center if:

3.5.1. The Patient's health status before the start of the service makes it impossible to provide it or significantly increases the risk of complications, threats to the Patient's life or health, or other serious or negative consequences.

3.5.2. Force majeure circumstances that make it impossible for the Medical Center to provide the service.

3.6. The Medical Center has the right to refuse to provide a service if:

3.6.1. The patient refuses to pay for the service;

3.6.2. The Patient is in a state of alcohol or drug intoxication and/or violates the rules of stay at the Medical Center;

3.6.3. The Patient has not made an appointment in accordance with the procedure established in clause 3.2. of the Agreement;

3.6.4. The patient did not appear at the time agreed upon in accordance with the procedure established in clause 3.2. of the Agreement, or is more than 15 minutes late;

3.6.5. The patient does not comply with the instructions of the doctors or psychologists of the Medical Center;

3.6.6. It is impossible to provide services to a particular Patient due to the lack of necessary specialists and/or equipment.

3.7. Acceptance and transfer of services provided is carried out orally or at the request of the Patient by drawing up an Act of Acceptance and Transfer of Services (hereinafter referred to as the Act of Acceptance and Transfer), which is drawn up by the Medical Center in duplicate and provided to the Patient for signature.

3.8. The Patient is obliged to sign both copies of the Transfer and Acceptance Certificate or provide a written reasoned refusal to sign the Transfer and Acceptance Certificate.

3.9. If the Patient has not provided a written reasoned refusal to sign the Acceptance Certificate, the medical service shall be deemed to have been duly provided by the Medical Center and duly accepted by the Patient.

3.10. In the presence of a written reasoned refusal to sign the Act of Acceptance and Transfer, the Medical Center shall consider such refusal within 14 (fourteen) calendar days and notify the Patient in writing of the results of the consideration.

3.11. In case of deferred/installment payment for services, the preparation of the Acceptance Certificate is mandatory. In this case, the Act shall record the unpaid cost of the service, as well as the terms of its payment by the Patient.

3.12. If the Patient has received several services, the Medical Center has the right to draw up one Acceptance Certificate in two copies, which shall include the entire list of services provided.

3.13. The Patient confirms that the Medical Center has explained to him/her the rights and obligations established by the legislation of Ukraine.

4. Payment procedure for services

4.1 The total cost of services shall be determined in accordance with the price of services specified in the Price List of the Medical Center. The Patient can familiarize himself with the current Price List directly at the Medical Center or by calling the Medical Center.

4.2 Payment for the services provided shall be made by the Patient after or before the start of the provision of medical services by:

4.2.1. Payment by the Patient in cash to the cash desk of the Medical Center;

4.2.2. The Patient makes a payment by means of a payment card using a payment device of the Medical Center's bank;

4.2.3. The Patient makes a cashless payment to the current account of the Medical Center.

4.3. The right to choose a payment method belongs to the Patient. The Medical Center has the right to refuse the Patient to choose a payment method only in case of temporary technical impossibility of making a payment in a certain way (including, but not limited to, malfunction of the bank's payment device)

4.4. The Patient may receive a discount on the cost of the service, the amount of which is determined in accordance with the procedure established by the Medical Center.

4.5. The Patient may be granted a deferred payment by installments, in which case the Patient is obliged to sign a written obligation to make payment. The decision to grant a deferred payment for services shall be made upon the Patient's request to the Medical Center. At the same time, making such a decision is the right, not the obligation of the Medical Center.

5. Responsibility of the parties

5.1. The Parties shall be liable for non-fulfillment or improper fulfillment of their obligations as defined by this Agreement and the current legislation of Ukraine.

5.2. A Party shall not be liable for breach of the Agreement if it occurred through no fault of its own.

5.3. A party shall be deemed innocent and shall not be liable for breach of the Agreement if it proves that it has taken all measures in its power to properly perform this Agreement.

5.4. Neither Party shall be liable for the obligations of the other Party to third parties, except as provided herein.

5.5. The Medical Center shall not be liable in case of complications in the Patient or for damage caused to the Patient's life and health as a result:

5.5.1. failure of the Patient to fulfill the obligations stipulated in subclause 2.4. of this Agreement, in particular, the prescriptions and recommendations of doctors or psychologists of the Medical Center, the Treatment Plan, etc;

5.5.2. failure of the Patient to provide essential information about his/her health status;

5.5.3. use by the Patient of medicines and medical devices of inadequate quality or those not prescribed by the physicians of the Medical Center;

5.5.4. failure of the Patient to provide the information provided for in clauses 2.4.5. and 2.4.7. of this Agreement;

5.5.5. receiving simultaneous or recent medical care in other health care facilities;

5.5.6. development of diseases or pathologies that are not related to the provision of services under this Agreement.

5.6. The Medical Center shall be exempt from liability if the occurrence of complications is not the fault of the Medical Center (not related to the quality of services provided to the Patient by the Medical Center).

5.7. The Parties understand and acknowledge that the inconsistency of the result of the provision of a particular Service with the result expected and desired by the Patient when applying for the provision of the relevant Service does not in itself constitute a fact that such Service was of inadequate quality.

6. Force majeure

6.1. The Parties to this Agreement shall not be liable for non-fulfillment or improper fulfillment of the terms of this Agreement, damage or losses incurred (including for the inability to fulfill or delay in fulfillment of their obligations), if such are the result of force majeure.

6.2. The Parties understand Force Majeure to mean: natural disasters, weather phenomena and conditions (earthquakes, landslides, floods, squalls, hurricanes, tornadoes, typhoons, tides, heavy rainfall, snowfall, hail, lightning, drought, epidemic, spontaneous fires, generally accepted maritime risks, revolution, declared or undeclared war, military actions or threat of war, civil disturbances, riots, strikes, lockouts, blockades, embargoes, sabotage, arrests and detentions, requisition of a vessel (including aircraft), explosions, industrial accidents or disasters, malfunctions of machinery, vehicles and cargo or equipment, quarantine orders, changes in applicable rules and regulations, introduction of a state of emergency, requirements and instructions of state authorities, moratoriums and other acts and actions of public authorities, international institutions or organizations, unavailability of transport or cargo, failure of the supplier or manufacturer of goods (not included in the structure of the Parties), as well as other phenomena, events and circumstances beyond the control of the non-performing Party to this Agreement, if such Party could not and should not have foreseen their occurrence, and could not and should not have prevented or eliminated the effect or consequences of such actions

7. Dispute resolution

7.1. All disputes and disagreements that arise or will arise between the Parties in the course of their performance of this Agreement shall be resolved through negotiations in accordance with the current legislation of Ukraine.

7.2. If the relevant dispute cannot be settled through negotiations, it shall be resolved in court in accordance with the established jurisdiction and jurisdiction of such dispute, in accordance with the procedure provided for by the current legislation of Ukraine.

8. Validity of the Agreement and other terms and conditions

8.1. This Agreement is a public Agreement (public offer) in accordance with the provisions of Art. 633 of the Civil Code of Ukraine and contains all the essential terms and conditions for the provision of services by the Medical Center specified in the Price List. The Offer shall be drawn up and signed in one copy, which shall be kept at the Medical Center. The Offer is posted by the Medical Center on the official website of the Medical Center: https://expio.clinic and on additional websites of the Medical Center and is available for free review. Acceptance of the terms of this Public Agreement (acceptance) is full and unconditional and means the Patient's consent to all terms of the Agreement without exception and addition, and also indicates that the Patient understands the significance of his actions, all terms of the Agreement are clear to him, the Patient is not under the influence of error, deception, violence, threats, etc.

8.2. The Patient who has applied orally or in writing for services to the Medical Center hereby accepts (accepts) all the terms and conditions of this Agreement, and the date of his/her first application shall be considered the date of conclusion of this Agreement.

8.3. An additional proof of the conclusion of this Agreement may be a written document drawn up by the Medical Center and signed by the Patient (including, but not limited to, the Patient's Informed Voluntary Consent)

8.4. This Agreement shall enter into force on the date of its conclusion and shall be valid for an unlimited period of time.

8.5. The terms of this Agreement shall be the same for all Patients, except as provided by the legislation of Ukraine.

8.6. The provisions of this Agreement regarding payment for medical services shall not apply to cases of provision of medical services to Patients that are paid to the Medical Center by Insurers under voluntary health insurance (continuous health insurance) agreements or other third parties in accordance with the terms of the relevant agreements.

8.8. Amendments to this Agreement shall be made by the Medical Center unilaterally and made public:

8.8.1. On the official website of the Medical Center: https://expio.clinic and on additional websites of the Medical Center.

8.8.2. On paper at the location of the Medical Center.

8.9. In case of discrepancies between the terms of this Agreement published on the official website of the Medical Center: https://expio.clinic and in hard copies at the location of the Medical Center, the hard copy and the version in Ukrainian shall prevail.

8.10. Amendments to this Agreement may not affect or limit the quality and scope of Services in respect of Services paid for by the Patient before such amendments take effect.

8.11. This Agreement may be terminated in the manner and in the manner prescribed by the laws of Ukraine.

9. Details of the Medical Center

Limited Liability Company Experio

Registered address: 67 Vyshgorodska Street, Kyiv.

Location of service provision: Kyiv, 1/7 Kopylivska St., inpatient department, 5th floor.

EDRPOU 44500187

Bank account No. UA253052990000026004006229152 in the bank JSC CB "Privatbank"

Licensed by the Ministry of Health of Ukraine according to the order of 11.08.2023 No. 1443.

Licensed by the State Administration of Ukraine on Medicines and Drugs Control according to Order No. 1065 of 11.07.2024.

Some services are provided by individual entrepreneur Matrenytskyi V. L.

Registration certificate No. 20690000000027190

EDRPOU 2307003470

bank account 5363542307381310 in Privatbank, OKPO 14360570, MFO 305299.

License of the Ministry of Health of Ukraine No. 1665 RD No. 0609/20-M dated 13.09.2018.

Licensed by the State Service of Ukraine on Medicines and Drugs Control dated 25.10.2018.