International Patient — Price and Inclusions Disclosure
What is included, what is not, what happens if something goes wrong, and what it costs then. Signed before travel, in the patient's language
What it is
The disclosure document for international patients: the all-inclusive price and exactly what it covers, the exclusions with their prices, the complications policy (who pays for treatment of a complication, readmission, extended stay, revision), cancellation and refund terms, currency and payment, the insurer's role, and the independent complaint route.
Where to use it
Given with the estimate at stage 3 of the pathway; signed; copy in the record and to the patient in their language. Evidence for: Medical Tourism endorsement — financial transparency; Standard 2. Evidence for: Medical Tourism endorsement — financial transparency; Standard 2.
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
International Patient Pathway — From First Enquiry to Home Follow-Up
Fitness to Travel and Handover to the Home-Country Clinician
Complaints and Redress for International Patients — Route and Record
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