Deviation to the above fees may occur e.g. Second opinions, medico legal and multiple injuries subject to the Doctors discretion. Other fees apply for Work Cover and Third Party. Other fees may be incurred for management, plaster casts, boots, injections, splints etc.
I agree that payment of the account in full is my responsibility. I consent to the disclosure to Medical/Specialist Practitioners, Allied Health Practitioners and institutions that may require information about my medical history, but only to the extent necessary to access/treat the particular condition that I have consulted the Specialist Practitioner about. I understand I can retract this consent at any time and to do this must do so in writing. I understand that I will be responsible for and agree to pay all Nautilus Orthopaedics accounts and will indemnify and keep indemnified Nautilus Orthopaedics from all costs, commission, fees, charges and expenses including, but not limited to solicitors costs and debt collection charges incurred by Nautilus Orthopaedics in the recovery of overdue monies. I have read and understood these terms and conditions.