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GENERAL TERMS AND CONDITIONS

Effective Date: 20 October 2026

These General Terms and Conditions (“GTC”) govern the contractual relationship between Alpine Diagnostics KlG (“Alpine Diagnostics”, “the Practice”, “we”, “us”) and any individual or entity (“the Client”, “you”) who places an order for radiology diagnostic services, including first opinions and second opinions, through our website, e-commerce platform, or any other channel.

By placing an order and actively confirming acceptance of these GTC via the mandatory checkbox at checkout, the Client expressly acknowledges having read, understood, and accepted these GTC in their entirety. The Client further acknowledges that the services are rendered under Swiss law, subject to Section 2.2.

Governing Law: Swiss Code of Obligations (Obligationenrecht, OR)

Place of Jurisdiction: Zurich, Switzerland, subject to the places of jurisdiction that mandatory law provides for consumers (Section 14)

1. SCOPE AND NATURE OF SERVICES

1.1 Service Description

Alpine Diagnostics provides independent radiology diagnostic services, including but not limited to first opinions (primary diagnostic interpretation) and second opinions (independent review of prior diagnoses). The service consists of the diagnostic review and interpretation of medical imaging data by physicians and health professionals who are licensed, registered, and regulated exclusively under Swiss law.

1.2 Swiss-Regulated Medical Practice

Alpine Diagnostics is a private medical practice (Privatpraxis) organised under Swiss law as a Kollektivgesellschaft (KlG), registered in the Commercial Register of the Canton of Zurich. All physicians, radiologists, and health professionals engaged by Alpine Diagnostics operate exclusively under Swiss medical professional regulations, including the Swiss Medical Professions Act (Medizinalberufegesetz, MedBG), the Swiss Health Insurance Act (KVG) where applicable, and the ethical guidelines of the Swiss Medical Association (FMH). No physician or health professional engaged by Alpine Diagnostics is subject to, regulated by, or operating under the laws, licensing requirements, or professional standards of any other jurisdiction.

1.3 Private Practice, Right to Accept or Decline

As a private practice, Alpine Diagnostics retains the unconditional and absolute right to accept or decline any case, any client, and any order at its sole and unfettered discretion, without obligation to provide reasons for such decision. This right exists at any stage of the engagement, including after an order has been placed and payment has been received. Mandatory law remains reserved.

1.4 No Treatment Obligation

The placement of an order and the processing of payment does not, under any circumstances, create an obligation on the part of Alpine Diagnostics to perform diagnostic services. A binding service agreement (Dienstleistungsvertrag) within the meaning of Art. 394 et seq. OR is only formed upon explicit written confirmation by Alpine Diagnostics that the diagnostic review has commenced, AND that the submitted imaging data meets the technical requirements set forth in Section 4 of these GTC.

1.5 Declined Orders

If Alpine Diagnostics declines an order before the diagnostic review has started (Sections 1.3 and 1.4), the Client receives a full refund of the order amount (Section 9.1), and no diagnostic service is owed. The Client’s statutory rights, including those under data protection law, remain unaffected.

1.6 Advisory Character

The radiology opinion, whether a first opinion or a second opinion, constitutes a medical advisory opinion (medizinische Beratungsmeinung) rendered under Swiss medical professional standards. It does not replace the diagnosis, treatment, or medical advice of the Client’s treating physician. Alpine Diagnostics assumes no responsibility for treatment decisions made on the basis of the diagnostic report. The Client is advised to consult with their local treating physician before making any medical decisions.

2.APPLICABLE LAW

2.1 Swiss Law Governs All Aspects

These GTC, the services provided by Alpine Diagnostics, all diagnostic reports, and any contractual or non-contractual obligations arising out of or in connection with the Client’s engagement of Alpine Diagnostics shall be governed exclusively by the substantive laws of Switzerland, specifically the Swiss Code of Obligations (OR), the Swiss Civil Code (ZGB), the Swiss Medical Professions Act (MedBG), and the Swiss Federal Act on Data Protection (DSG), without regard to conflict of laws provisions of any jurisdiction.

2.2 Mandatory Law

If the Client is a consumer, the choice of Swiss law does not deprive the Client of the protection of mandatory provisions of the law of the country of the Client’s habitual residence, where such provisions apply. The law applicable to the processing of personal data is set out in Section 13.3.

2.3 Services from Switzerland

The diagnostic services are performed in Switzerland by Swiss-licensed health professionals. Images and reports are exchanged via Tresorit with end-to-end encryption, and the encrypted files are stored on servers in Switzerland; other personal data is processed as described in the privacy notice.

2.4 Place of Jurisdiction

Disputes are subject to Section 14. Mandatory rights of the Client remain unaffected, in particular any right of a consumer to bring proceedings at their place of domicile and the right to lodge a complaint with a data protection or other supervisory authority.

2.5 Medical Professional Standards

All diagnostic services are rendered in accordance with Swiss medical professional standards as defined by the Swiss Medical Association (FMH), the relevant cantonal medical authorities, and the Swiss Medical Professions Act (MedBG). The Client acknowledges that the applicable standard of care is exclusively the Swiss standard, not the standard of any other jurisdiction. Claims of medical malpractice, negligence, or professional misconduct shall be assessed exclusively under Swiss law and Swiss medical professional standards.

2.6 Foreign Currency Display

Alpine Diagnostics may display prices in foreign currencies (including but not limited to AUD, USD, EUR, GBP) as a convenience for international clients. All transactions are denominated in Swiss Francs (CHF) for the purposes of these GTC, with currency conversion handled by third-party payment processors.

3.ACCEPTANCE OF GTC AND CHECKOUT MECHANISM

3.1 Mandatory Acceptance

The Client must actively confirm acceptance of these GTC by selecting the mandatory checkbox at checkout prior to completing the order. The checkbox reads: “I have read and accept the General Terms and Conditions of Alpine Diagnostics KlG.” No order can be completed without this active confirmation.

3.2 Timestamp Logging

The timestamp, IP address, and browser session data associated with the Client’s acceptance of these GTC are logged and stored by Alpine Diagnostics’ e-commerce platform. This data constitutes evidence of the Client’s informed and voluntary acceptance of these GTC and is admissible in any dispute resolution proceedings.

3.3 Availability of GTC

The current version of these GTC is published on the Alpine Diagnostics website at www.alpinediagnostics.ch/gtc and is accessible at all times. A direct link to the GTC is provided at checkout. The Client is advised to download and retain a copy of the GTC applicable to their order.

3.4 Binding Effect

The Client’s active confirmation of these GTC constitutes a binding agreement under Art. 1 OR. The Client may not subsequently claim that they were unaware of, did not understand, or did not consent to any provision of these GTC.

4.MANDATORY TECHNICAL REQUIREMENTS FOR IMAGING DATA

4.1 DICOM Format Requirement

Alpine Diagnostics exclusively accepts medical imaging data in the original DICOM (Digital Imaging and Communications in Medicine) format as generated natively by the imaging equipment (MRI scanner, CT scanner, X-ray unit, ultrasound device, etc.) at the time of the examination. This requirement is absolute, non-negotiable, and applies equally to first opinion and second opinion services.

4.2 Rejected File Formats

The following file types are explicitly rejected and cannot be used for diagnostic evaluation under any circumstances: PNG, JPEG, JPG, TIFF, BMP, GIF, PDF, or any other non-DICOM image format. Files that have been converted from non-DICOM formats to DICOM format using third-party conversion tools, online converters, or any other method are equally rejected and will be treated as non-compliant submissions. Such converted files do not contain the original scanner metadata (including but not limited to contrast parameters, slice thickness, sequence information, patient positioning data, field strength, repetition time, echo time, and acquisition protocol) required for a reliable radiological assessment.

4.3 Complete Study Requirement

The Client must provide the complete imaging study, including all sequences, all slices, and all series as acquired by the imaging facility. Partial uploads, individual slices, or incomplete series will be rejected. Alpine Diagnostics reserves the right to verify the completeness and authenticity of the submitted data by cross-referencing file counts, sequence metadata, and study integrity.

4.4 Responsibility for Data Procurement

The Client bears sole responsibility for obtaining the original DICOM files from the imaging facility. Patients generally have the right to obtain their medical imaging data in the original digital format under applicable healthcare regulations in their respective jurisdictions. Alpine Diagnostics is not responsible for any limitations, delays, or deficiencies in the imaging facility’s file delivery process, patient portal functionality, or export capabilities. It is not Alpine Diagnostics’ responsibility to troubleshoot, assist with, or facilitate the Client’s data procurement from third-party imaging facilities.

4.5 Diagnostic Integrity

Alpine Diagnostics will not, under any circumstances, issue a diagnostic opinion based on imaging data that does not meet the technical requirements set forth in this Section 4. This policy exists to protect the Client from unreliable diagnostic outcomes and to maintain the highest standards of Swiss medical practice. Any radiology provider that accepts converted, incomplete, or non-DICOM imaging data as a basis for a diagnostic opinion fails to meet accepted standards of radiological practice.

5.ORDERS, PAYMENT, AND PRICING

5.1 Order Placement

Orders are placed exclusively through the Alpine Diagnostics e-commerce platform operated via Shopify at products.alpinediagnostics.ch. Each order is assigned a unique order number. The order confirmation generated by the platform constitutes acknowledgment of receipt only and does not constitute acceptance of the order by Alpine Diagnostics.

5.2 Pricing and Currency

All prices displayed on the platform are inclusive of applicable taxes, if any. Prices may be displayed in various currencies as a convenience (see Section 2.6). Alpine Diagnostics reserves the right to modify pricing at any time without prior notice. The price applicable to an order is the price displayed at the time of checkout.

5.3 Payment Processing

Payments are processed through Shopify Payments / Stripe. Alpine Diagnostics does not store, process, or have access to the Client’s full credit card details. Payment processing is subject to the terms and conditions of Shopify Inc. and Stripe, Inc., which are independent third-party providers. Any disputes regarding payment processing must be directed to the relevant payment processor.

5.4 Service Tiers and Turnaround

Alpine Diagnostics offers multiple service tiers with different turnaround times (Standard 72h and Priority 24h). The turnaround period commences only upon receipt and verification of complete and technically compliant imaging data as defined in Section 4. The turnaround period does not commence upon order placement or payment. Turnaround times represent best-effort targets and do not constitute guaranteed delivery times within the meaning of Art. 102 OR.

6.DATA SUBMISSION AND SECURE FILE TRANSFER

6.1 Secure Upload

Imaging data must be uploaded exclusively via the secure file transfer link (Tresorit) provided by Alpine Diagnostics after order placement. Tresorit is a Swiss-based, end-to-end encrypted file transfer platform operated by Tresorit AG, Zurich. Files sent via email, unsecured cloud storage, or any other channel are not accepted for diagnostic evaluation.

6.2 Upload Link

A secure upload link is provided per order via email. The Client is responsible for using this link to upload files. Upload links remain active until explicitly deactivated by Alpine Diagnostics. Alpine Diagnostics’ secure file transfer system (Tresorit) maintains verifiable, timestamped, and tamper-proof logs of all file uploads, including the uploading email address, timestamp, folder designation, and file metadata. These logs constitute admissible evidence under Swiss procedural law (Art. 177 ZPO) in any dispute regarding the submission or non-submission of files.

6.3 Upload Verification

Alpine Diagnostics verifies all uploaded files for format compliance, completeness, and authenticity. The Practice reserves the right to reject any submission that does not meet the requirements of Section 4, regardless of the Client’s assertions regarding the nature or origin of the files.

7.COMMUNICATION

7.1 Response Times

Alpine Diagnostics endeavours to respond to client communications promptly. However, response times are not guaranteed and do not constitute binding deadlines. The time elapsed between a Client’s message and Alpine Diagnostics’ response does not give rise to any claim, create any obligation, or affect the rights of Alpine Diagnostics under these GTC. In particular, a delay in responding to a message does not constitute acceptance of any request, waiver of any right, or assumption of any obligation.

7.2 Written Communication

All material communications between Alpine Diagnostics and the Client shall be in writing via email. Verbal or telephonic communications are not binding unless confirmed in writing. The email correspondence record constitutes the authoritative record of all communications between the parties.

7.3 Automated Communications

Order confirmations, payment receipts, and other automated messages generated by the e-commerce platform (Shopify) are system-generated and do not constitute communications from Alpine Diagnostics’ medical or administrative staff. Automated confirmations do not constitute acceptance of an order, commencement of services, or any other binding commitment.

8.RIGHT OF REFUSAL AND CASE DECLINATION

8.1 Unconditional Right

Alpine Diagnostics reserves the unconditional right to decline any case at any stage and for any reason, including but not limited to: (a) failure to provide technically compliant imaging data; (b) submission of converted, manipulated, or incomplete files; (c) concerns regarding the authenticity or provenance of submitted data; (d) abusive, threatening, defamatory, or otherwise inappropriate conduct by the Client; (e) attempts to coerce or pressure Alpine Diagnostics into deviating from its diagnostic standards; (f) contradictory or inconsistent statements by the Client regarding submitted data; (g) any other reason at the sole discretion of the Practice.

8.2 No Obligation to Justify

Alpine Diagnostics is under no obligation to provide detailed reasons for declining a case. Where reasons are provided, this is done as a courtesy and does not create a precedent or obligation for future cases.

8.3 Effect of Declination

Upon declination of a case, any payment received will be refunded in full in accordance with Section 9. The declination does not give rise to any claim for damages, compensation, lost opportunity, emotional distress, or consequential losses of any kind under Swiss law or the law of any other jurisdiction.

9.REFUND POLICY

9.1 Full Refund on Declination

If Alpine Diagnostics declines a case for any reason prior to the commencement of the diagnostic review, the Client will receive a full refund of the order amount.

9.2 Processing Time

Refunds are initiated by Alpine Diagnostics promptly upon the decision to decline a case. The time required for the refunded amount to appear on the Client’s statement depends solely on the payment processing partners (Shopify Payments, Stripe) and the Client’s card-issuing bank. Alpine Diagnostics has no control over and accepts no responsibility for the processing time of third-party payment providers. Typical processing times range from 3 to 10 business days depending on the payment method and issuing bank.

9.3 Payment Disputes

If the Client believes that a charge is incorrect, the Client is asked to contact Alpine Diagnostics first at info@alpinediagnostics.ch so that the matter can be resolved quickly. If a payment dispute is raised for an order that Alpine Diagnostics has already refunded, Alpine Diagnostics may provide the refund confirmation to the payment provider. The Client’s rights towards their card issuer or payment provider remain unaffected.

9.4 No Refund After Delivery

Once a diagnostic report has been delivered to the Client, no refund will be issued. The service is deemed fully performed upon delivery of the written report via the secure communication channel. Section 9.5 remains reserved.

9.5 Right to Cancel for Consumers in the United Kingdom

If the Client is a consumer living in the United Kingdom, the Client may cancel the order within 14 days without giving any reason. The cancellation period ends 14 days after the day on which the order was placed.

To cancel, the Client informs Alpine Diagnostics of the decision by a clear statement, for example by email to info@alpinediagnostics.ch or by letter to Alpine Diagnostics KlG, Turbinenstrasse 50, 8005 Zurich, Switzerland. The Client may use the model cancellation form in Annex A, but this is not required. It is sufficient to send the statement before the cancellation period ends.

If the Client cancels, Alpine Diagnostics refunds all payments received for the order without undue delay and no later than 14 days after the day on which it is informed of the cancellation, using the same means of payment that the Client used for the order. The Client pays no fees for the refund.

Alpine Diagnostics starts the diagnostic review within the cancellation period only if the Client expressly asks for this, in the medical questionnaire or in writing. If the Client cancels after the review has started at the Client’s request, the Client pays an amount in proportion to the work performed until Alpine Diagnostics was informed of the cancellation, compared with the full service ordered, and the remainder is refunded.

The right to cancel ends when the report has been delivered, provided that the Client asked for the review to start within the cancellation period and acknowledged that the right to cancel is lost once the service has been fully performed.

10.LIMITATION OF LIABILITY

10.1 Exclusion of Liability

To the maximum extent permitted by Swiss law, Alpine Diagnostics excludes all liability for indirect, consequential, incidental, or special damages arising from or in connection with the use or inability to use Alpine Diagnostics’ services, including but not limited to: loss of income, loss of opportunity, emotional distress, delays in treatment, deterioration of health, adverse health outcomes, travel costs, accommodation costs, or any other losses of any nature.

10.2 Force Majeure

Alpine Diagnostics shall not be liable for any delay or failure in performance resulting from circumstances beyond its reasonable control, including but not limited to: internet or telecommunications failures, acts of God, pandemics, governmental orders, sanctions, or third-party service provider outages (including Shopify, Stripe, and Tresorit).

10.3 Maximum Liability

In the event that liability cannot be excluded under mandatory Swiss law (Art. 100 OR), Alpine Diagnostics’ aggregate liability shall in no event exceed the amount paid by the Client for the specific order giving rise to the claim.

10.4 No Liability for Declined Cases

Alpine Diagnostics assumes no liability whatsoever for consequences arising from the declination of a case, including but not limited to: delayed medical decisions, missed treatment windows, surgical scheduling conflicts, or any adverse health outcomes. The Client remains solely responsible for their medical decisions and should consult their local treating physician independently of Alpine Diagnostics’ involvement.

10.5 No Liability for Foreign Standard of Care

Alpine Diagnostics’ diagnostic reports are rendered in accordance with Swiss medical professional standards exclusively. Alpine Diagnostics accepts no liability for any claim that the diagnostic report fails to meet the standard of care of any jurisdiction other than Switzerland.

10.6 No Liability for Communication Delays

Alpine Diagnostics accepts no liability for any consequences arising from delays in responding to client communications, including but not limited to: missed surgical appointments, expired treatment windows, or other time-sensitive medical decisions. The Client should not rely on Alpine Diagnostics’ response times for making urgent medical decisions.

11.CLIENT OBLIGATIONS AND CONDUCT

11.1 Accurate Information

The Client warrants that all information provided to Alpine Diagnostics, including personal data, medical history, and imaging data, is accurate, complete, and authentic. The submission of falsified, manipulated, or converted imaging data constitutes a material breach of these GTC.

11.2 Professional Communication

The Client agrees to communicate with Alpine Diagnostics in a respectful and professional manner. Alpine Diagnostics reserves the right to terminate any engagement and decline further service if the Client engages in abusive, threatening, defamatory, or otherwise inappropriate conduct, whether directed at Alpine Diagnostics’ staff, physicians, or the Practice itself.

11.3 No Emotional Coercion

The Client acknowledges that Alpine Diagnostics’ diagnostic standards and technical requirements apply uniformly to all cases, regardless of the urgency, emotional circumstances, or personal situation of the Client. Attempts to pressure Alpine Diagnostics into deviating from its diagnostic standards through emotional appeals, threats, or other forms of coercion will not affect the application of these GTC and may constitute grounds for immediate termination of the engagement under Section 8.

11.4 Truthful Representations

The Client agrees not to make false or misleading representations regarding: (a) the nature, origin, or format of submitted files; (b) the conduct of Alpine Diagnostics or its staff; (c) the circumstances of the engagement; or (d) whether files were or were not submitted. False representations are documented via the email record and Tresorit logs and may constitute grounds for the permanent exclusion of the Client from Alpine Diagnostics’ services.

11.5 Swiss Practice and Swiss Law

By placing an order and confirming acceptance of these GTC, the Client expressly acknowledges that they are voluntarily engaging a Swiss medical practice, that the services will be rendered under Swiss law by Swiss-licensed professionals, and that disputes are subject to Section 14.

12.STATUTE OF LIMITATIONS

12.1 Statutory Limitation Periods

Claims arising out of or in connection with these GTC or the services of Alpine Diagnostics are subject to the statutory limitation periods of the applicable law.

13.INTELLECTUAL PROPERTY, CONFIDENTIALITY, AND DATA PROTECTION

13.1 Report Ownership

The diagnostic report produced by Alpine Diagnostics constitutes the intellectual property of Alpine Diagnostics, protected under Swiss copyright law (Urheberrechtsgesetz, URG). Upon full payment and delivery, the Client receives a non-exclusive, non-transferable right to use the report for personal medical purposes. The Client may share the report with their treating physicians.

13.2 Confidentiality

Alpine Diagnostics treats all client data and imaging data as strictly confidential in accordance with Swiss professional secrecy obligations (Art. 321 Swiss Criminal Code) and the Swiss Federal Act on Data Protection (DSG). Images and reports are exchanged via Tresorit with end-to-end encryption, and the encrypted files are stored on servers in Switzerland.

13.3 Applicable Data Protection Law

The processing of personal data is governed by the Swiss Federal Act on Data Protection (DSG) and, for clients in the EEA or the UK, by the GDPR or the UK GDPR. Details are set out in the privacy notice at alpinediagnostics.ch/privacy-policy.

13.4 Data Processing

Images, reports and questionnaire answers are used only to provide the requested diagnostic service, to answer the Client’s questions about it and to keep the patient record required by law, and never for advertising or analytics. Personal data is not sold. It is disclosed to third parties only where this is necessary to provide the service (the service providers listed in the privacy notice), where the law requires or permits it, or with the Client’s consent.

13.5 Data Retention

Imaging data and associated personal data are retained for 10 years after the last service, as required by § 13 of the Zurich Health Act (Gesundheitsgesetz). Deletion requests are processed in accordance with the DSG, subject to this mandatory retention period.

13.6 Cross-Border Data Transfers

Images and reports are exchanged via Tresorit, which stores the encrypted files on servers in Switzerland. Some personal data, for example order, payment and email data, is processed by service providers outside Switzerland, with the safeguards described in the privacy notice.

14.DISPUTE RESOLUTION AND PLACE OF JURISDICTION

14.1 Amicable Resolution

The parties shall first attempt to resolve any dispute arising out of or in connection with these GTC through good-faith negotiation. Either party may initiate the negotiation process by sending a written notice to the other party describing the dispute and proposing a resolution. The parties shall have thirty (30) days from receipt of such notice to reach an amicable resolution.

14.2 Place of Jurisdiction

The ordinary courts at the seat of Alpine Diagnostics in Zurich, Switzerland, have jurisdiction over all disputes arising out of or in connection with these GTC, subject to Section 14.3.

14.3 Consumers

If the Client is a consumer, the places of jurisdiction that mandatory law provides for consumers remain unaffected, in particular any right to bring proceedings before the courts at the Client’s place of domicile.

15.REVIEWS AND REPUTATION

15.1 Replies to Reviews

Alpine Diagnostics may reply publicly to reviews and ratings. In public replies, Alpine Diagnostics does not disclose whether the author is or was a patient and does not disclose any information about a case, in accordance with medical professional secrecy (Art. 321 Swiss Criminal Code).

15.2 Defamatory Statements

The publication of false, misleading, or defamatory statements regarding Alpine Diagnostics, its physicians, or its staff may give rise to civil and/or criminal liability under Swiss law (Art. 28 ZGB; Art. 173-177 StGB). Alpine Diagnostics reserves the right to pursue all available legal remedies, including injunctive relief and damages.

16.AMENDMENTS AND SEVERABILITY

16.1 Amendments

Alpine Diagnostics reserves the right to amend these GTC at any time. Amendments become effective upon publication on the Alpine Diagnostics website. The GTC applicable to an order are the GTC in effect at the time the order is placed and accepted by the Client via the checkout checkbox.

16.2 Severability

If any provision of these GTC is found to be invalid, void, or unenforceable by a competent court, such provision shall be severed and the remaining provisions shall continue in full force and effect. The invalid provision shall be replaced by a valid provision that most closely reflects the economic intent of the original provision.

16.3 Entire Agreement

These GTC, together with the order confirmation and any written communications from Alpine Diagnostics, constitute the entire agreement between the parties with respect to the subject matter hereof and supersede all prior or contemporaneous oral or written agreements, representations, or understandings.

16.4 No Waiver

The failure of Alpine Diagnostics to enforce any provision of these GTC shall not constitute a waiver of that provision or the right to enforce it at a later time.

ANNEX A: MODEL CANCELLATION FORM

For consumers in the United Kingdom (Section 9.5). Complete and return this form only if you wish to cancel the contract.

To: Alpine Diagnostics KlG, Turbinenstrasse 50, 8005 Zurich, Switzerland, info@alpinediagnostics.ch

I hereby give notice that I cancel my contract for the supply of the following service:

Ordered on:

Order number:

Name:

Address:

Signature (only if this form is sent on paper):

Date:

CONTACT

Alpine Diagnostics KlG

Turbinenstrasse 50

8005 Zurich, Switzerland

Email: info@alpinediagnostics.ch

Website: www.alpinediagnostics.ch

UID: CHE-290.638.465