Neurosurgical practice of Dr Eno Lavrysen Version 1.0 — effective from 15/09/2026

1. Identity of the healthcare provider

These general terms and conditions apply to all consultations, examinations, procedures, advice and other services provided by:

• Dr Eno Lavrysen, specialist physician in neurosurgery

• Acting through dr. Eno Lavrysen Neurochirurgie BV, with its registered office in Mortsel.

• Company number / VAT number: BE 0728.507.018

• NIHDI (RIZIV/INAMI) number: 1-49792-73-170

• Registered with the Order of Physicians, Provincial Council of Antwerp

• Email: info@drlavrysen.be — phone: +3238901674

• Website: www.drlavrysen.be

Consultations and procedures take place at the campuses of AZ Rivierenland (Bornem, Willebroek, Rumst), at AZ Zeno (Knokke-Heist) and at any other locations communicated when the appointment is made.

2. Scope and acceptance

2.1. These terms govern the relationship between the patient and the healthcare provider and apply to every appointment and every service, regardless of location.

2.2. By making an appointment — by phone, online, via the secretariat or via a referring physician — the patient accepts these terms. They can be consulted at any time on www.drlavrysen.be and are provided on simple request.

2.3. When the service takes place in a hospital, the admission declaration, the financial conditions and the internal regulations of that hospital also apply. In the event of a conflict regarding hospital costs (room, day of hospitalisation, materials), the hospital's conditions take precedence; regarding the doctor's fees, these terms apply.

2.4. Deviations are only valid after express written confirmation by the healthcare provider.

3. Nature of the services

3.1. The doctor enters into an obligation of means (best-efforts obligation), not an obligation of result. No cure, freedom from pain, functional recovery or specific surgical outcome is guaranteed. Every medical treatment, and certainly every neurosurgical treatment, carries risks, even when carried out with care.

3.2. The doctor practises his profession with diagnostic and therapeutic freedom. He may refuse a requested examination, medication, certificate or procedure when it is not medically justified, not indicated or deontologically unacceptable.

3.3. The practice provides no on-call service, no emergency care and no permanent availability. In the event of an acute or life-threatening problem (sudden paralysis, loss of bladder or bowel control, acute severe headache, loss of consciousness, an accident), the patient calls 112 or goes directly to the emergency department. Outside consultation hours, the patient contacts their GP or the GP out-of-hours service.

4. Appointments, cancellation and no-shows

4.1. Appointments are made via the secretariat or via the online appointment system. The patient ensures that their contact details are correct and up to date.

4.2. Cancellation is free of charge up to 24 hours before the agreed time at the latest, by phone or by email. A cancellation by email is only valid if it was sent within that period; the patient is advised to keep a copy.

4.3. No-show without timely cancellation. If the patient does not attend an appointment without notifying by phone or email at least 24 hours in advance, a flat-rate compensation of EUR 50.00 is charged. This compensation covers the reserved consultation time that could no longer be allocated to another patient, and the administrative cost.

The following expressly applies:

• this is compensation, not a fee: no medical service was provided, so no certificate of care provided (getuigschrift voor verstrekte hulp / attestation de soins donnés) is issued and the amount is not reimbursed by the health insurance fund;

• the amount is not subject to VAT;

• the compensation is not due in case of force majeure (including hospitalisation, accident, acute illness, death of a close relative or severe traffic or weather conditions). The patient reports this as soon as reasonably possible; supporting evidence may be requested;

• for a first missed appointment, the healthcare provider may decide not to charge the compensation. This does not constitute a waiver for later cases;

• reciprocity: if the healthcare provider cancels or reschedules an appointment within 24 hours, other than in case of force majeure or an urgent medical priority (emergency operation, medical emergency involving another patient), the patient is entitled to a new appointment with priority and no no-show compensation applies to that new appointment.

4.4. Arriving late. In case of late arrival, the consultation may be shortened or, if the remaining time is medically insufficient, rescheduled. In the latter case, the rule of Article 4.3 applies.

4.5. Repeated no-shows may result in the patient only being given an appointment against advance payment, or in the doctor ending the treatment relationship in accordance with Article 11.

5. Fees, agreement status and supplements

5.1. Dr Lavrysen is not under the national fee agreement (non-conventionné). He has not signed up to the national agreement between doctors and health insurance funds and is therefore not bound by the fees set in it. The patient is informed of this before the consultation; this information is also available on the website and in the waiting room.

5.2. Fee supplement. On top of the NIHDI (RIZIV/INAMI) fee for the service concerned, a fee supplement of €36.26 is charged. The portion reimbursed by compulsory health insurance does not change as a result; the supplement remains entirely payable by the patient and is not reimbursed by the health insurance fund. A supplementary hospitalisation or outpatient insurance policy may cover it in full or in part — the patient checks this with their insurer.

5.3. Increased reimbursement (verhoogde tegemoetkoming / intervention majorée). Patients entitled to increased reimbursement are charged no supplement for outpatient services reimbursed by compulsory health insurance. This follows from the statutory ban on supplements, which applies regardless of the doctor's agreement status. Insurability status is verified electronically on the day of the service; the patient reports any changes in their status.

5.4. Transparency in advance. Before any service, the patient can ask the secretariat for the full amount and the expected patient co-payment (ticket modérateur). For planned procedures, a cost estimate is provided on request. Estimates are indicative: the final amount depends on the services actually performed, the NIHDI fee schedule (nomenclature) at the time of the service and any hospital costs invoiced separately by the hospital.

5.5. Non-reimbursed services. For services outside the nomenclature (including certain certificates, reports requested by third parties, insurance forms, aesthetic or non-medically indicated procedures), a separate fee applies, communicated in advance. These services are not reimbursed.

5.6. Fees may be adjusted, among other things when the NIHDI nomenclature or its indexation changes. The fee applicable on the day of the service applies.

6. Payment

6.1. Fees are payable at the time of the consultation, by the payment methods offered (Bancontact / bank transfer / cash). Services in hospital may be invoiced by the hospital or via the third-party payment scheme, according to the arrangements that apply there.

6.2. When invoiced, the invoice is payable within 30 calendar days of the invoice date to the account number given at the consultation, stating the structured payment reference.

6.3. Non-payment. In case of non-payment on the due date, the healthcare provider sends a first reminder free of charge. It states the amount due, the service concerned and the consequences of non-payment. Only after the expiry of a period of 14 calendar days, starting on the third working day after sending by post or on the day after sending by electronic means, are the following due by operation of law:

• late-payment interest at the reference interest rate plus 8 percentage points (Art. 5, second paragraph, of the Late Payment Act), calculated on the outstanding balance;

• a flat-rate compensation, limited to the statutory maximums: EUR 20 for a balance up to EUR 150; EUR 30 plus 10% of the amount above EUR 150 for a balance between EUR 150.01 and EUR 500; EUR 65 plus 5% of the amount above EUR 500 for a higher balance, with an absolute maximum of EUR 2,000.

This arrangement follows Book XIX of the Code of Economic Law. In the same circumstances and under the same conditions, the patient is entitled to equivalent compensation if the healthcare provider repays an amount owed to the patient late.

6.4. Persistent non-payment may lead to recovery by amicable or judicial means. This never affects the duty to provide urgent medical assistance.

6.5. Any dispute about an invoice must be made in writing, stating reasons, within 14 days of receipt. A dispute does not suspend the obligation to pay the undisputed part.

7. Course of the consultation — obligations of the patient

7.1. The patient brings: identity card, a health insurance fund sticker (klevertje / vignette de mutuelle), referral letter if available, an up-to-date list of medication, relevant previous reports and all available medical imaging (CT, MRI, X-ray) on CD or via a secure link, together with the associated reports. Without imaging, the consultation may be limited in substance or of no use; in that case the costs remain payable.

7.2. The patient provides, to the best of their ability, complete and accurate information about their state of health, medical history, medication (in particular anticoagulants and antiplatelet agents), allergies and previous procedures. Incomplete or inaccurate information may affect the diagnosis and the safety of a treatment; the healthcare provider is not liable for any consequences arising from this.

7.3. The patient cooperates with the treatment and follows the agreed pre- and post-operative instructions (including fasting, stopping or adjusting medication, wound care, activity restrictions, follow-up appointments). Failure to follow them may adversely affect the outcome.

7.4. The patient and those accompanying them are expected to behave properly towards the healthcare provider and staff. Aggression, threats, discrimination or inappropriate behaviour may lead to the immediate termination of the consultation and of the treatment relationship, without prejudice to the right to payment for the service provided and to file a criminal complaint.

7.5. Image or sound recordings during the consultation or procedure are only permitted with the prior consent of the healthcare provider. Distributing recordings in which the healthcare provider or staff are recognisable, without consent, is prohibited.

8. Informed consent and patients' rights

8.1. Before any procedure or treatment, the patient is informed in understandable language about its nature, purpose, urgency, duration, frequency, relevant contraindications, side effects and risks, possible alternatives, aftercare and financial consequences. The patient then gives their free and informed consent. Consent may be withdrawn at any time.

8.2. The patient's rights are guaranteed in accordance with the Act of 22 August 2002 on patients' rights, including the right to quality care, free choice of healthcare provider, information, consent, access to and a copy of the record, protection of privacy, complaints mediation and pain management.

8.3. The patient may be assisted by a person of trust or, if unable to exercise their rights themselves, be represented according to the statutory order (appointed representative, spouse or cohabiting partner, adult child, parent, brother or sister).

8.4. A second opinion is always possible and is not regarded as a sign of distrust. To that end, the doctor provides the necessary information on request to the colleague designated by the patient.

9. Medical record, certificates and reports

9.1. A record is kept for every patient. The record is kept for at least 30 years and at most 50 years after the last patient contact, in accordance with the Act of 22 April 2019 on the quality of healthcare practice.

9.2. The patient has the right to access their record within 15 days of the request and to a copy. Personal notes and data concerning third parties are excluded from this right. A request is submitted in writing with proof of identity. A first copy is free of charge; for repeated or extensive copies, a fee may be charged within the statutory maximums.

9.3. Reports are sent by default to the referring physician and the GP, unless the patient objects. The patient's attention is drawn to the fact that good communication with the GP is in their interest.

9.4. Certificates are only issued for facts that the doctor has established personally. Retroactive certificates of incapacity for work, falsified or fabricated certificates and certificates for facts that have not been established are refused, even if insisted upon. Certificates and reports requested by an insurer, employer, lawyer or other third party are only issued with the patient's written consent and may be charged (see Art. 5.5).

10. Communication and data protection

10.1. Email and telephone are for practical and administrative communication, not for diagnosis or medical advice. No medical advice is given outside a consultation. There is no guaranteed response time; as a rule, emails are answered within 3 working days. Urgent questions should be raised by phone or via emergency services (see Art. 3.3).

10.2. Ordinary email is not a fully secure channel. Anyone who sends medical data by email does so in the knowledge of that risk. The practice preferably uses secure channels (eHealth, secure exchange platforms).

10.3. Personal data and health data are processed in accordance with the General Data Protection Regulation (GDPR) and the Belgian implementing legislation, exclusively for the provision of care, record management, billing, legal obligations and, where applicable, scientific research in anonymised or pseudonymised form. Full information is available in the privacy statement on www.drlavrysen.be.

10.4. The doctor is bound by professional secrecy (Article 458 of the Criminal Code). Data is only shared with other healthcare providers within the care relationship and within the limits of the patient's consent, or when required by law.

11. Ending the treatment relationship

11.1. The patient may end the treatment relationship at any time and without giving reasons.

11.2. The doctor may end the treatment relationship when the relationship of trust has broken down, in case of repeated non-compliance with these terms, structural non-payment, repeated no-shows or inappropriate behaviour. He informs the patient in good time, ensures continuity of care, remains available until the patient has found another healthcare provider and, on request, sends the record to the doctor taking over. Urgent assistance is never refused.

12. Liability

12.1. The healthcare provider is insured for professional liability with AMMA. Liability is in any event limited to the amount covered by this policy, except in cases of intent or fraud.

12.2. The healthcare provider is not liable for damage resulting from inaccurate or incomplete information from the patient, from failure to follow instructions given, from services provided by other healthcare providers or by the hospital, or from the inherent risks of a medical or surgical act performed lege artis.

12.3. For damage resulting from healthcare, the patient may also contact the Fund for Medical Accidents (FMA), which examines free of charge whether there is liability or a medical accident without liability.

12.4. The healthcare provider is not liable for loss, theft or damage of personal belongings in the waiting room, the consultation room or the hospital.

13. Website

13.1. The information on www.drlavrysen.be is general information and does not constitute medical advice, a diagnosis or a treatment plan. It can never replace a personal consultation.

13.2. The content is compiled with care, but no guarantee is given as to its completeness, accuracy or currency. Medical science evolves; texts may become outdated.

13.3. The texts, images, logos, illustrations and design of the website are protected by intellectual property rights. Reproduction without prior written permission is not permitted.

13.4. Links to external websites are provided for information only; the healthcare provider has no control over their content and accepts no liability for it.

13.5. Patient testimonials or images of patients are only published with explicit, written and revocable consent.

14. Complaints and disputes

14.1. The patient preferably discusses a complaint directly with the healthcare provider first. Most problems are resolved this way.

14.2. For services in hospital, the patient can contact the ombudsman service of the hospital concerned (AZ Rivierenland or AZ Zeno). There is also the federal ombudsman service "Patients' Rights" (FPS Public Health), and a deontological complaint can be lodged with the Provincial Council of the Order of Physicians.

14.3. These terms are governed by Belgian law.

14.4. Disputes are preferably settled amicably. Failing an amicable solution, the courts have jurisdiction in accordance with the Judicial Code; for disputes with a patient who is a consumer, this is the court of the patient's place of residence, unless the law provides otherwise.

15. Miscellaneous provisions

15.1. If any provision of these terms is void, invalid or unenforceable, the remainder remains fully in force. The provision concerned is replaced by a valid provision that comes as close as possible to the original intention.

15.2. These terms may be amended. The version on the website at the time the appointment is made applies. Changes are announced on the website and in the waiting room.

15.3. Failure to enforce a right under these terms immediately does not constitute a waiver.

Last amended: 15/09/2026 — Dr Eno Lavrysen, specialist physician in neurosurgery