Terms and Conditions

Patient Care Terms & Conditions

DAVID K. ZICH, M.D., S.C.

200 S Michigan Avenue
Suite 830 Chicago, Illinois 60604
(312) 922-2500
Dave@DrZichChicago.com

By submitting payment to David K. Zich, M.D., S.C., The individual listed as “patient” on the submission form is covered by this Patient Contract (“Contract”).

1. Patient acknowledges that David K. Zich, M.D., S.C. (“Corporation”) will officially start providing the services, as set forth in the submission form (“Services”), to Patient on the day payment is received until the end of the following June 30th (the “Service Term”) .  Patient agrees to pay Corporation an annual fee (“Annual Fee”) upon execution of this Contract for these Services.  Corporation reserves the right to modify the Annual Fee by providing written notice of the change not less than ninety (90) days prior to end of the Service Term.  The current Annual Fees are as follows for memberships initiated between July 1st and December 31st:

  • $2,250 for patients 35 years old or older as of July 1st of the current year of sign-up
  • $2,250 for patients who have a high degree of medical complexity as determined by Dr. Zich
  •  $1,500 for patients less than 35 years of age as of July 1st of the current year of sign up and who are not of high medical complexity.
  • Memberships initiated between January 1st and June 30th are half of the above amounts.

 

2. Patient agrees that the Annual Fee will cover only those Services provided by Corporation during the Service Term.  Patient understands that the Annual Fee is not covered by any federal or state medical program or private health insurer.  Patient further understands that Corporation will not bill Patient’s insurance provider, except for Medicare Part B, for any Services, but Corporation will provide Patient with necessary documentation for Patient to submit a claim directly to such insurer.

3. Patient understands that if Patient desires to terminate Patient’s relationship with Corporation, Patient must provide at least ninety (90) days written notice.  Patient further acknowledges that the Annual Fee is non-refundable regardless of whether patient chooses to receive any or none of the Services except for the below condition.

4. Patient acknowledges the following addition to the refund policy:  Patient may cancel membership within 1 month of payment if no more than 1 patient encounter has occurred during that month, for refund of 11/12ths of the membership fee, but not of the office visit fee.  After one month, or more than one patient visit within that month, the fee is non-refundable as described above.

5. Patient acknowledges that Patient can reach David K. Zich, M.D. (“Physician”), 24 hours a day/7 days a week at 312-890-4515.

6. Patient affirms that Patient is 18 years of age or older.

7. Patient acknowledges that this Contract is not an insurance plan and not a substitute for health insurance or other health plan coverage.  This Contract will not cover hospital services, with the exception of Physician’s visits to the hospital.  Patient acknowledges that Corporation has advised Patient to obtain or keep in full force such health insurance policy(ies) or plan(s) that will cover Patient for health care items or services not provided by Corporation.

8. Patient acknowledges that this Contract, and any rights Patient may have under it, may not be assigned or transferred by the Patient.

 

Website Terms & Conditions

Please review the following Terms of Use which govern the use and purchase of products from our Site (“Agreement”). By accessing, browsing, or using this Site, you acknowledge that you have read, understand, and agree to be bound by these terms. If you do not agree to these terms, please do not use this Site.

General
We may from time to time change the Terms of Use that govern your use of our Site. Your use of our Site following any such change constitutes your agreement to follow and be bound by the Terms and Conditions changed. We may change, move or delete portions of, or add to, our Site from time to time.

Site Contents
Unless otherwise noted, all materials, including images, graphics, illustrations, design, icons, photographs, written and other materials that comprise this Site (collectively, the “Contents”) are copyrights, trademarks, trade dress and/or other intellectual properties owned, controlled or licensed to or by us. This site as a whole is protected by copyright and trade dress, all worldwide rights, titles and interest in and to which are owned by us. This Site and its Contents are controlled and operated from its offices in Chicago, Illinois.

Permission is granted to display, copy, distribute, download, and print in hard copy portions of this Site for the purposes of:

(1) Placing an order with our Site.

Except in connection with shopping or placing an order, none of the Contents may be copied, reproduced, distributed, republished, downloaded, displayed, posted electronically or mechanically, transmitted, recorded, in any manner mirrored, photocopied, or reproduced without prior written permission.

Please note that the permission granted herein terminates automatically if you breach any of these Site Terms of Use. Any other use of the Contents on this Site including reproduction for purposes other than as noted above, and including any reproduction, modification, distribution, or republication may violate copyright or trademark laws, and, without prior written permission is strictly prohibited.

Disclaimer of Warranty
THIS SITE AND ITS CONTENTS ARE PROVIDED ON AN “AS IS” BASIS WITHOUT REPRESENTATIONS OR WARRANTIES OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING, WITHOUT LIMITATION, WARRANTIES OR CONDITIONS OF TITLE OR IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT. ALTHOUGH WE BELIEVE THE CONTENT TO BE ACCURATE, COMPLETE, AND CURRENT, DAVID K. ZICH, MD, SC DOES NOT REPRESENT OR WARRANT THAT THE INFORMATION ON THIS SITE IS ACCURATE, COMPLETE, OR CURRENT. PRICE AND AVAILABILITY INFORMATION IS SUBJECT TO CHANGE WITHOUT NOTICE.
Disclaimer of Website Liability
IN NO EVENT SHALL WE BE LIABLE FOR SPECIAL, INDIRECT, EXEMPLARY, OR CONSEQUENTIAL DAMAGES OR ANY DAMAGES WHATSOEVER, INCLUDING BUT NOT LIMITED TO, LOSS OF USE, DATA, OR PROFITS, WITHOUT REGARD TO THE FORM OF ANY ACTION, INCLUDING BUT NOT LIMITED TO CONTRACT, NEGLIGENCE, OR OTHER TORTIOUS ACTIONS, ALL ARISING OUT OF OR IN CONNECTION WITH THE USE, COPYING, OR DISPLAY OF THE CONTENTS OF THIS SITE. In an effort to provide our customers with the most current information, we will, from time to time, make changes in the Contents and in the products or services described on this Site.

User Comments & Feedback
You agree that any material, user comments, feedback, and ideas that you transmit to this Site or otherwise provide (“Transmissions”) shall be and remain the Site’s property.
All Transmissions will be treated as non-confidential and non-proprietary and we shall be under no obligation of any kind with respect to such information and shall be free to reproduce, use, disclose, and distribute the Transmissions to others without limitation. Additionally, we shall be free to use any ideas, concepts, know-how, or techniques contained in such information for any purposes whatsoever including, but not limited to, developing, manufacturing, or marketing products incorporating such information. You further agree that we may use information about your demographics and use of this Site in any manner that does not reveal your identity.
In addition, you agree, and are hereby put on notice, that you are prohibited from posting or transmitting to or from this Site any unlawful, threatening, libelous, defamatory, inflammatory, pornographic, or profane material or any other material that could give rise to any civil or criminal liability under law. You are solely responsible for the content of any comments you make.

Customers
We cooperate with law enforcement agencies in identifying those who use our services for illegal activities. We reserve the right to report to law enforcement agencies any activities that we reasonably believe to be unlawful.

Children
We have no intention of collecting personal information from individuals under the age of 18.

Pricing
In the event that a service is listed at an incorrect price due to typographical error, or error in pricing information received from others, we retain the right to refuse or cancel any orders placed for services listed at the incorrect prices. We are not responsible for typographical or photographic errors.

Termination
This Agreement is effective unless and until terminated by us. We may terminate this Agreement at any time without notice to you, and accordingly deny you access to the Site in our sole discretion if you fail to comply with the Agreement. Upon any termination of this Agreement, you must promptly destroy all materials downloaded or otherwise obtained from this Site, as well as all copies of such materials. In addition, by providing material on our Site, we do not in any way promise that the materials will remain available to you. All or part of this Site may be terminated at any time without notice to you.

Modification
We may modify these terms by updating this posting. You agree that in the event any portions of these Site Terms of Use are found to be unenforceable, the remainder of these Site Terms of Use shall remain in full force and effect. By using this Site you agree to be bound by any such revisions and should therefore periodically visit this page to determine the then current terms of use to which you are bound.

Jurisdiction and Venue
This Agreement is governed by and shall be construed in accordance with the laws of the State of Illinois without giving effect to any principles or conflicts of law. You agree to bring any claims arising under this Agreement exclusively in the federal courts of the State of Illinois.

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