Regulations of Braniborska Clinic

§ 1

Preliminary Provisions

1. Whenever this Regulation refers to:

1. price list – it should be understood as Appendix No. 1 to this Regulation.
2. actual guardian – it should be understood as a person providing, without legal obligation, constant care for a patient who, due to age, health condition, or mental state, requires such care;
3. close persons – it should be understood as close persons within the meaning of the UoPP, i.e., spouse, relative up to the second degree or in-laws up to the second degree in a straight line, legal representative, person living in cohabitation, or person indicated by the patient;
4. employed persons/personnel – it should be understood as persons cooperating with the medical entity, in particular based on employment contracts or civil law contracts, as well as persons or entities cooperating based on medical contracts;
5. patient – it should be understood as a person using health services provided by the medical entity;
6. medical entity – it should be understood as the company to the extent that it performs medical activities;
7. Regulation – it should be understood as this Regulation;
8. company – it should be understood as Braniborska Clinic sp. z o.o. based in Wrocław (53-680) ul. Braniborska 10e, lok. U6, entered into the register of entrepreneurs kept by the District Court for Wrocław Fabryczna in Wrocław, VI Commercial Division of the National Court Register, under KRS number 0001175608, NIP 8971954864, REGON. 541852649, share capital 5000 PLN;
9. UoDL – it should be understood as the Act of April 15, 2011, on medical activity;
10. UoPP – it should be understood as the Act of November 6, 2008, on patient rights and the Patient Rights Ombudsman;
11. medical facility – it should be understood as a set of assets through which the medical entity performs a specific type of medical activity;
12. management – it should be understood as the management of the Company.

2. The Regulation specifies:

1. the name of the entity;
2. the goals and tasks of the entity;
3. the organizational structure of the medical facility;
4. the type of medical activity and the scope of provided health services;
5. the place of providing health services - in the case of providing health services via teleinformatics systems or communication systems, the place of providing services is the place where the medical professionals providing these services are located;
6. the course of the process of providing health services, ensuring proper availability and quality of these services in the units or organizational cells of the medical facility;
7. the organization and tasks of individual units or organizational cells of the medical facility and the conditions for cooperation of these units or cells to ensure the efficient and effective functioning of the entity in terms of diagnostic and therapeutic, nursing, rehabilitation, and administrative-economic aspects;
8. the conditions for cooperation with other entities performing medical activities to ensure the correctness of diagnostics, treatment, nursing, and rehabilitation of patients and the continuity of the process of providing health services;
9. the amount of the fee for providing medical documentation determined in the manner specified in art. 28 sec. 4 of the Act of November 6, 2008, on patient rights and the Patient Rights Ombudsman;
10. the organization of the process of providing health services in the case of charging fees;
11. the amount of fees for health services that may be provided for partial or full payment in accordance with the provisions of the Act or separate regulations;
12. the method of managing the organizational cells of the medical facility.

3. The Regulation is available at the registration of the medical facility.

§ 2

Name of the medical entity

1. The medical entity operates under the name Braniborska Clinic limited liability company.
2. The medical entity:
   1. is a limited liability company, possessing legal personality based on the entry in the National Court Register under number 0001175608;
   2. is registered in the register of entities performing medical activities conducted by the Lower Silesian Voivode under the register book number 000000291357;
   3. is insured for civil liability in the scope of damages resulting from the provision of health services or unlawful omission of health services;
3. The medical entity operates based on:
   1. UoDL and executive regulations,
   2. UoPP,
   3. acts on medical professions,
   4. company agreement,
   5. this Regulation,
   6. other generally applicable regulations concerning the functioning of entities performing medical activities.

§ 3

Purpose and Tasks

1. The main purpose of the medical entity is to conduct medical activities, which involve providing specialized health services and other medical actions resulting from the treatment process by persons authorized to do so under the law.
2. Further purposes of the medical entity include health promotion, as well as educational and research activities, including training activities and cooperation with scientific institutions, as specified in paragraph 89 section 3 of the UoDL.
3. The tasks of the medical entity include:

1. performing tasks resulting from the status of the medical entity, in particular by providing health services to patients;
2. applying treatment methods recognized as effective and in accordance with current medical knowledge;
3. cooperating with external institutions to improve the quality of service provision and increase treatment safety;
4. constant supervision of the equipment used, ensuring its technical efficiency and compliance with the required legal quality standards;
5. implementing tasks in the field of prevention and health promotion;
6. conducting scientific and training activities, cooperating with scientific and educational units;
7. performing other tasks resulting from separate regulations.

§ 4

Organizational Structure of the Medical Facility

1. The organizational structure of the medical facility consists of the organizational unit – Braniborska Medical Center and:

1. Medical activity organizational units;
2. Non-medical activity organizational units.

2. The medical activity organizational units include:

1. thoracic surgery clinic;
2. endocrinology clinic;
3. dermatology clinic;
4. ophthalmology clinic;
5. pediatric ophthalmology clinic;
6. ultrasound laboratory;
7. obstetrics and gynecology clinic;
8. health promotion clinic;
9. diagnostic and treatment room.

3. The non-medical activity organizational units include cells and independent specialists:

1. Management Office;
2. Patient and Facility Service Office (Registration).

§ 5

Type of Medical Activity and Scope of Provided Health Services

1. The medical entity conducts medical activities in the form of: outpatient health services.
2. Outpatient health services include (scope):

1. specialized health care services,
2. diagnostic tests performed to assess health status and determine further treatment procedures,
3. provided in conditions not requiring stationary and round-the-clock provision in appropriately equipped, permanent premises,
4. health education and promotion.

3. The services are provided by the medical activity organizational units listed in § 4 section 2 above.

§ 6

Time and Place of Providing Health Services

1. The place of providing health services is the medical facility of the medical entity, located in Wrocław (53-680), ul. Braniborska 10E/U6.
2. Health services may also be provided at the patient's location:

1. personally by medical staff, if the patient's health condition requires it;
2. via telecommunication or teleinformatics systems, after confirming the identity of the person requesting advice via the telecommunication or teleinformatics system.

3. In the case of providing health services via telecommunication or teleinformatics systems, the place of providing services is the location of the medical staff providing these services.
4. Health services are provided from Monday to Friday from 8:00 am to 8:00 pm and on Saturdays from 10:00 am to 2:00 pm, excluding public holidays in accordance with the generally applicable provisions of Polish law.

§ 7

Course of Providing Health Services, Including Paid Services

1. The medical entity provides health services ensuring proper accessibility and quality of these services, in a manner that guarantees patients the most convenient form of using the services.
2. Health services provided in the medical entity are delivered with due diligence, in accordance with the indications of current medical knowledge, available methods and means of prevention, diagnosis, and treatment of diseases, and in accordance with the principles of professional ethics.
3. Services are provided only by persons performing a medical profession and meeting the health requirements specified in separate regulations; in premises meeting the requirements appropriate to the type of medical activity performed and the scope of provided health services. Medical equipment meets technical requirements in accordance with applicable regulations.
4. Services are provided only after obtaining the patient's consent, and in the case of surgical and operational services, written consent is required in accordance with the current legal status specified in the relevant acts.
5. The medical entity provides health services:

1. commercially based on a price list,
2. based on contracts concluded with other entities.

6. Depending on the type of ailment and the necessary service, an individual valuation may be made by the attending physician after acceptance by the person authorized to represent the company.
7. Health services provided on an outpatient basis are delivered without a referral.
8. Outpatient

11. Health services are provided as quickly as possible, in accordance with the established work schedule of the employed/cooperating persons in the medical entity.
12. In the event of circumstances that could not have been foreseen at the time of setting the date of the health service, preventing the maintenance of the service date, the patient should be informed in every possible way.
13. Before the commencement of the service, the patient is informed of its price.
14. Determining the identity of the patient by the registration staff, through verification of data based on a photo document (ID card, passport, driving license, school ID) is a necessary condition for providing the health service.
15. The service is carried out based on an individual settlement with the patient or agreements with insurers (in this case, the patient is not charged with the service costs in whole or in part).
16. The payment is settled before the commencement of the service or immediately after its completion. For the provided health services, the patient receives a receipt. At the patient's request, an invoice may be issued in accordance with applicable regulations. The patient is obliged to inform the registration staff about the need to obtain an invoice with a tax identification number before issuing the receipt, otherwise issuing the invoice will not be possible.
17. The order of admitting patients is determined by the doctor.
18. The necessary medical personnel participate in the provision of health services, depending on the type of service. The participation of other persons requires the consent of the patient and the doctor.
19. Health services provided in the medical facility include the provision of specialist consultations, performing diagnostic tests, etc.
20. In the treatment room:

1. outpatient procedures are performed by personnel with qualifications appropriate to the type of procedure,
2. material for diagnostics is collected based on a referral/order or without a referral in accordance with the applicable price list.

21. Diagnostic tests are performed by external entities based on u

§ 8

Organization and tasks of individual organizational units of the medical facility

1. The medical entity is managed by the Management Board (in accordance with the representation rules resulting from separate regulations), which represents it externally, makes decisions regarding its functioning, is the superior of all employees, and is responsible for managing the medical entity.
2. The Management Board performs its managerial and administrative tasks with the help of:
   1. coordinators of organizational units (non-medical),
   2. employees of independent work positions.
3. The rights and obligations of employees and collaborators are determined by the company's Management Board.
4. Management Office/Board – the tasks of the employees/collaborators of the Management Office/Board include, in particular, coordinating the current organizational and administrative activities of the medical entity, managing human resources, personnel and payroll services for employees and partners of the medical entity.
5. Patient and Facility Service Office (Registration) – the tasks of the Registration employees include, in particular, patient registration, providing information about services, collecting fees, and completing medical documentation, as well as coordinating cooperation with external entities cooperating with the medical entity in all non-medical matters, including technical and IT matters, marketing, supply, transport, conducting current correspondence, and supervising the implementation of orders and settlements.
6. Organizational units of medical activity – the tasks of persons employed in these units include the provision of health services to patients and maintaining medical documentation in accordance with regulations.
7. All medical organizational units of the medical facility are independent of each other and not organizationally connected.
8. The personnel providing health services within the individual organizational units of the medical facility are independent of each other and not organizationally connected.
9. The tasks of the organizational units of medical activity include providing comprehensive care to patients by providing health services in the field of outpatient treatment, in particular providing medical advice and consultations, as well as directing and conducting diagnostic tests.
10. All organizational units of medical activity and the persons employed in them cooperate with each other to ensure the efficient and effective functioning of the medical entity in terms of diagnostic and therapeutic as well as administrative and economic aspects.

§ 9

Conditions of cooperation with other entities performing medical activities

1. The medical entity cooperates with:
   1. units authorized to provide services in the field of diagnostic tests (including microbiological, histopathological, cytological), as well as services in the field of sanitary transport,
   2. other units if necessary.
2. The medical entity uses the services of external laboratories based on contracts concluded with subcontractors.
3. Cooperation with entities performing health services involves the implementation of referrals for diagnostic tests.
4. The patient's medical documentation may be made available to other entities performing medical activities if it is necessary to ensure the continuity of health services, while maintaining the principles of data protection contained in this documentation.

§ 10

Access to Medical Documentation

1. Medical documentation is made available to the patient or a person authorized by them based on a written or electronically submitted request.
2. The patient or authorized person specifies in the request the scope of the documentation they wish to access:
   1. for viewing only,
   2. in the form of an extract, transcript, copy, or printout,
   3. by issuing the original with acknowledgment of receipt and with the condition of return after use – at the request of public authorities or common courts, and also if a delay in issuing the documentation could pose a threat to the patient's life or health,
   4. via electronic communication means,
   5. on an IT data carrier.
3. The patient or person authorized by them specifies whether they want the entire medical documentation or part of it – in which case they specify the scope of the medical documentation they request access to.
4. The medical entity maintains a register containing the following information regarding the accessed medical documentation:
   1. the first name(s) and surname of the patient to whom the medical documentation pertains,
   2. the method of access to the medical documentation,
   3. the scope of the accessed medical documentation,
   4. the first name(s) and surname of a person other than the patient to whom the medical documentation was made available, and in the cases referred to in Article 26(3) and (4) of the UoPP, also the name of the authorized authority or entity,
   5. the first name(s) and surname and signature of the person who made the medical documentation available,
   6. the date of access to the medical documentation.
5. Documentation is made available without delay.
6. Medical documentation is made available only on the premises of the medical entity.
7. The collection of copies, photocopies, transcripts of medical documentation is done personally by the patient or a person authorized by them.

§ 11

Fees for Accessing Medical Documentation

1. The basis for calculating the fee amount is the average monthly salary in the previous quarter published by the President of the Central Statistical Office.
2. The first copy of the documentation is free of charge.
3. According to paragraph 1 above, the applicable fee rates are established:
   1. one page of an extract or transcript of medical documentation – 0.002 × the average salary in the previous quarter,
   2. one page of a copy of medical documentation – 0.00007 × the average salary in the previous quarter,
   3. medical documentation on an electronic data carrier – 0.0004 × the average salary in the previous quarter.
4. The fee amount will be subject to change annually after the publication of the average salary for the previous year by the President of the Central Statistical Office.

§ 12

Management of Organizational Units of the Medical Facility

1. The medical entity is managed by the President of the Board with the assistance of persons employed in the administration department (registration) of the medical facility.
2. All decisions are made directly by the President of the Board or persons authorized by them.
3. The President of the Board does not supervise the medical staff employed in the medical entity.

§ 13

Monitoring

1. The method of observing rooms is specified:
   1. publicly accessible, if necessary to ensure the safety of patients or employees,
   2. where health services are provided and patients stay, particularly in bed rooms, hygiene and sanitary rooms, changing rooms, lockers – if required by separate regulations,
   3. where health services are provided, if necessary in the treatment process of patients or to ensure their safety –
      using devices enabling image recording (monitoring), taking into account the need to respect the intimacy and dignity of the patient, including transmitting images from monitoring in a way that prevents showing intimate physiological activities, the need to apply monitoring in a given room, and the need to protect personal data.
2. Image recordings obtained from monitoring containing personal data are processed by the medical entity solely for the purposes for which they were collected and stored for no longer than 3 months from the date of recording.
3. After the period referred to in paragraph 2 above, image recordings obtained from monitoring containing personal data are destroyed unless separate regulations provide otherwise.

§ 14

Patient's Right to Information

1. The medical entity, upon the patient's request, provides:
   1. detailed information about the provided health services, in particular information regarding the diagnostic or therapeutic methods used and the quality and safety of these methods;
   2. necessary information about the insurance contracts referred to in Article 25(1) of the UoDL;
   3. information included in the register of entities performing medical activities, concerning this entity.
2. The patient submits the request in writing or in document form.

§ 15

Payment

1. The patient is obliged to pay for the previously agreed medical service before its realization, choosing the available form of payment.
2. Some types of health services may require prepayment.
3. The medical entity may demand prepayment for subsequent services agreed by a patient who did not show up and did not cancel previously agreed services with 24-hour notice.
4. If additional services were provided during the visit, the patient is obliged to report to the reception to settle the payment.
5. Health services provided at the request of a doctor and performed after the working hours of the medical entity are additionally payable.

§ 16

Final Provisions

1. In cases not regulated by these Regulations, the remaining applicable legal provisions shall apply.
2. The detailed rules for the performance of services and procedures defining the operation of the medical facility's units are regulated by continuously updated procedures and standards of conduct, with which the staff is continuously acquainted, and the procedures are available at the Registration.
3. The scope of duties of the medical entity's employees is specified in employment contracts and is available for inspection at the Management Office.
4. The provisions of the regulations apply to all employees of the entity, as well as persons cooperating with the medical entity on the basis of civil law contracts, patients, and persons accompanying patients.
5. The regulations come into force on 11.07.2025.