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Make an appointment with Dr Jessica below.

Important Notice: All payments are made in office following your appointment. Patients are responsible for claiming back from their medical aid afterwards.

Dr Jessica Leske

M. Tech Hom (UJ)

Practice number: 0625205

TERMS AND CONDITIONS BETWEEN THE PATIENT (INCLUDING PARENT/GUARDIAN, AS APPLICABLE) AND THE HOMEOPATH (DR J LESKE)

  • By booking with Dr Jessica, you agree to the terms and conditions outlined below.
  • Patient information is confidential and written authorization is required to release any information.
  • Please reschedule the session if more than 15 minutes late.
  • 24-hour cancellation notice is required. 

PATIENT AGREEMENT

  1. The Protection of Personal Information (POPI) Act requires us to inform our patients on how we use disclose, and destroy personal information we obtained. We are committed to protecting our patient’s privacy and will ensure that your personal information is used appropriately, transparently, securely, and according to applicable legislation.
  2. By visiting, interacting and or receiving medical treatment with Dr J Leske (the practitioner), the patient consents to the following:
  3. My personal information may be collected, processed, recorded, used, and must be safeguarded during the rendering of medical services to me by Dr J Leske, hereafter referred to as the practitioner.
  4. The practitioner may also add to my personal information, with information received from other medical service providers and third parties to offer a more comprehensive and appropriate service to me.
  5. The practitioner may verify, share, and disclose my personal information to third parties whose services are used to adequately and appropriately render medical services to me.
  6. I have the right to access my personal information which the practitioner holds once my account is paid up to date and that it can take up to 30 days to process my request.
  7. Any information I supplied to the practitioner is voluntary.
  8. I have the right to ask the practitioner to update, correct or delete my personal information on reasonable grounds. This is to be made in writing, by me.
  9. My personal information as well as diagnosis will be disclosed to my medical aid scheme and the main member of the account and/or if applicable, my broker.
  10. Medical Aid Schemes: Should I not agree for you to disclose my diagnosis on my account (quote/statement/invoice) then the medical aid scheme has the discretion to reject my claim and I will be responsible to settle the account. (You will be required to provide written notice upon each visit, should you not wish for your diagnosis / ICD10 codes to appear on your account)
  11. Where applicable; that my personal information as well as diagnosis, will be disclosed to the person/entity responsible for the payment of my account i.e to my partner or employer.
  12. Once I object to the practitioner processing my personal information, the practitioner may no longer process my personal information, unless it is within reasonable parameters such as to conclude a transaction or outstanding business.
  13. Once I withdraw my consent for the practitioner to process my personal information, I understand that the practitioner is still obliged under legislation to keep such information for 5 years after termination of the relationship between the practitioner and myself and/or that the practitioner may retain my medical records for their protection, as long as the practitioner remains in practice.
  14. The practitioner may disclose my information where they have a duty or a right to do so in terms of applicable legislation or where it may be necessary under any other law.
  15. That where I did not give written consent for the practitioner to obtain my information, that the practitioner cannot be held responsible for obtaining such information.
  16. Should I refuse to provide my Personal Information, where the practitioner’s purpose for such collection is based on a contractual requirement, legal obligation and/or legitimate interest of the practitioner, I understand that it will hinder the practitioner’s ability to perform his duties and responsibilities. Where reasonable justification exists, the practitioner may as a consequence reserve his right to refuse admission, diagnosis and treatment.

MEDICAL CERTIFICATES (‘SICK NOTE’)

  • I hereby acknowledge that I understand that although I am entitled to ask for a medical certificate from my doctor, he/she is under no obligation to issue such a certificate.
  • I, the undersigned, am personally responsible for payment and not my medical aid. In the event of divorce the parent accompanying the minor is responsible for settlement of the account. In the event of any legal action being instituted against me for recovery of any amount whatsoever, I shall be liable for all legal costs including admin costs and a 20% admin fee on each instalment paid. If the matter is defended, I will be liable for legal costs incurred on an attorney/client scale.
  • Once my account has been handed over there will be no further correspondence entered into with the practice. All correspondence will be with ARA (Anthony Richards & Assoc). The National Credit Act 34 of 2005 is not applicable to this claim.
  • I hereby choose my above address as my domicilium citandi et executandi for all purposes under this agreement.