I / we have read the General Terms and the Costed Treatment Plan and have discussed these with my / our Consultant, who has created an individualised Costed Treatment Plan for my specific requirements. I / we understand and agree to the General Terms and my individualised Costed Treatment Plan.

I / we understand that all consultation and diagnostic work-up fees as detailed in this Costed Treatment Plan must be paid for before starting any treatment. Failure to do so will delay the start of treatment and may mean that time sensitive tests become invalid after 3 months and so will need to be repeated and paid for again.

I / we understand that the individualised Costed Treatment Plan includes the price for tests and consultations.

I / we understand that additional “add on" treatments offered to myself by my Consultant will need to be paid for by myself and are charged separately by my Consultant.

I / we understand that my / our Consultant may also recommend treatments that are specific to my / our medical history but are not fertility related. I / we understand that these treatments will be charged separately and will be subject to p4 fertility and its associated organisation’s general self-pay terms and conditions.

I / we understand that invoices for tests must be paid within 14 days of receiving the invoice. Further treatment will not continue unless payment is received.

I / we understand that it is my / our obligation to provide the Hospital with up-to-date contact details for correspondence so that the Hospital may contact me.

I / we understand that this is the Costed Treatment Plan for the pre-treatment stage and no treatment plan for further treatment has been entered into yet. 

I / we understand that I / we will need to sign a separate individualised Costed Treatment Plan for treatment if I / we decide to move on from the pre-treatment stage into the treatment stage. I / we understand that payment will need to be made in full before treatment can commence.