Private Patient

I consent to wound assessments, wound cleaning and dressings, compression therapy,negative pressure wound therapy (VAC)

debridement procedures (sharp, enzymatic, or autolytic) where clinically indicated.*

I understand the purpose, risks, benefits, and possible complications of my treatment and that my treatment plan may change based on my wound's progress.I acknowledge that no healing outcomes can be guaranteed*

I understand I may be referred to other specialists if clinically indicated*

I understand that regular prescribed appointments are necessary to manage my wound & I agree to attending these as recommended.*

I understand that wound care is an ongoing process for most patients, requiring continuous clinic visits and active management, rather than a one-time intervention.*

Wound Well will not take responsibility for wounds that deteriorate due to missed appointments.*

I Understand that Wound Well is not a 24 hour facility, should I need urgent care I agree to attending my nearest emergency center/hospital.*

I understand consumables (dressings, ointments, etc.) are charged per item. I understand extra procedures, like debridement, will incur additional charges*

Payment methods accepted: Payflex (Pay in interest free installments), Card, Eft*

Private patient fees:

First consult R950 (excluding suture removals & simple post operative wounds) : Excluding dressings & consumables*

Simple post op consult R450- Excludes suture removal & dressing

Simple post op with suture removal R550- Excludes dressing

Simple post op R650- Including basic dressing

Follow ups for Extensive Wounds R550 : Consumables EXCLUDED

Home visits R150: Additional to above rates, for home visits in designated areas.

Dressings & Materials: All materials used are charged seperately & additionally to consult & follow up fees.

These fees are ONLY an estimate & any additional serivces/materials will be charged*

Medical Aid patient fees:

This practice charges above medical aid rates

Any co-payments are due on the day of your appointment, any short falls occurred after your appointment remains the patients responsibility for payment.*

Consult & consumable fees are due on the day of your appointment and must be claimed back by the patient

Authorisation is required by your medical aid to be covered from risk benefit otherwise claims are deducted from medical savings.

Authorisation can only be applied for after your first consult which requires full payment.

In Hospital patients- Consult fees must be paid privately as medical aids do not cover in hospital wound management unless VAC therapy is being done.

I understand that: My personal information will be used solely for healthcare services, medical records, invoicing, and related administrative purposes. Wound Well will take reasonable steps to protect my data against loss, unauthorised access, or misuse.*

I consent to photographing & videoing of my wound/s for the purpose of record keeping. I understand these images/videos may be shared with other relevant healthcare professional & may be used for educational purposes.*