Deposit

Scheduling a PRP and Stem Cell procedures requires the coordination of many different resources. This takes time to handle properly so that the patient will enjoy a quality experience. You acknowledge and agree that upon execution of this Invoice of Surgical Fees (the “Agreement”), Poovendran Regenerative Orthopedic Institute, LL (“PRO Institute”) will incur certain costs and expenses in order to schedule and prepare for your procedure(s). As such, you are required to pay to PRO Institute 25% of the procedure cost (the “Deposit”) as a deposit in order to book your appointment.

 

Payment and Terms

You agree and understand that the above-quoted amount (the “Amount Due”) ONLY includes the following: One post-operative visit; and the above-listed procedure(s). You must obtain any and all blood work, CXRs, mammograms, medical clearance, prescriptions, and other ancillary services at your own expense.

You also agree and acknowledge the total Amount Due shall be paid no later than day of service prior to the procedure appointment. Your failure to remit the total Amount Due by such date and time will result in the cancellation of your procedure(s). You also agree and acknowledge that payment of the Amount Due, and any rescheduling or cancellation fees, are your responsibility. If someone other than you makes any payment(s) towards the surgical procedure(s), then that payor must also sign this Agreement. By signing this Agreement, payor is agreeing to be held financially liable for any and all payments made, subject to the cancellation policies in Section 3, and any other applicable provisions of this Agreement.

You agree and acknowledge that with any medical procedure RESULTS ARE NOT GUARANTEED. To be clear, your obligation to pay the total Amount Due, as well as any other obligations hereunder, are operative regardless of the outcome of any procedure(s). Your payment is for the services provided hereunder, not the results. In the event that you are not satisfied with the results of your surgical procedure(s), your treatment, or you wish to discuss any payment terms, then you should contact PRO Institute at (305) 209-1951. Moreover, you agree to mediate any payment dispute prior to seeking a chargeback from any third party.

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Cancellation

In the event that you cancel your surgical procedure(s) (for any reason whatsoever) you agree and understand that the following applies:

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3 business days’ notice or more

If you cancel your procedure(s), for any reason whatsoever, and such cancellation occurs three (3) or more business days before the scheduled procedure(s) (or at any time if no procedure has been scheduled), then you shall be entitled to the Amount Due along with the Deposit. If the Amount Due was not paid in full, then the refund shall consist of the amount then-paid to PRO Institute.

 

2 business days’ notice or less

If you cancel your procedure(s), for any reason whatsoever, and cancellation occurs less than two business days (2) days before the scheduled procedure(s), then you agree and acknowledge that you WILL NOT BE ENTITLED TO ANY REFUND WHATSOEVER.

You may choose to reschedule your procedure(s) (a “Rescheduled Procedure”), in which case you will be required to pay the full Amount Due hereunder in order to book the appointment. You agree and understand that should you cancel any Rescheduled Procedure, you WILL NOT BE ENTITLED TO ANY REFUND WHATSOEVER for each cancelled Rescheduled Procedure.