The general practitioner or specialist assesses the patient’s health and recommends a spa treatment using the transfer certificate.

• Transfer certificate for the Therapeutic Spa Treatment : Rheumatism & rehabilitation; Lympho-venous stasis; Lower respiratory tracttract
• Transfer certificate for the Obesity Spa Treatment

The spa physician sees the patient for a consultation, confirms the medical indication, prescribes the spa treatments and submits the request for coverage to the CNS.

It serves as a link between the general practitioner / specialist and the spa physician.

Yes, the decision is based on the medical indication and the patient’s condition.

The recommendation of the treating physician does not guarantee acceptance for a therapeutic spa treatment.

If refused, the spa physician will generally refer the patient to another treatment.

Yes. The CNS gives the final approval for coverage.

The CNS may refuse coverage if:

• The patient is not affiliated with the CNS.
• The spa treatment is not medically justified.
• The application is incomplete or incorrect.
• The spa treatment does not correspond to recognised indications.
• The patient has already received a spa treatment during the year.

Once the treating physician or specialist has given the transfer certificate to the patient, the patient makes an appointment with the spa physician.

Following this first consultation, the patient has one year to undergo the spa treatment.

Ideally, the patient will be offered a treatment date within 3 months.

The duration of daily treatments ranges between 4 and 6 hours.

As a general rule, only one spa treatment per year is covered for the same condition. Exceptions may, however, be considered for other therapeutic indications. An obesity spa treatment may be undertaken twice in a lifetime.

The patient is considered unfit for work (on sick leave) during the therapeutic spa treatment.

The spa physicians (rheumatologists, general practitioners, sports physicians and ENT specialists), physiotherapists, medical massage therapists, thermal attendants and electrotherapists, as well as, depending on the treatment, dietitians, psychologists, sophrologists and the sports therapist.

Coverage for patients affiliated with the Caisse Nationale de Santé is provided according to the rates in force.

The patients concerned must pay the full cost of their spa treatment upfront, then submit a reimbursement claim to their health insurance fund. The reimbursement rate depends on the conditions applicable to each fund.

Yes. This depends on the patient’s policy; please refer to the applicable terms and conditions.

The spa patient may choose whether or not to stay on site and may also stay for only part of the treatment, depending on their needs, even though the treatment lasts three weeks.

For an inpatient obesity spa treatment, the patient is required to stay on site.

Coverage for patients affiliated with the Caisse Nationale de Santé is provided according to the rates in force.

Spa treatments will remain available during the construction work, with a few exceptions (thermal baths), which will be replaced by other treatments.

The treating physician or specialist can prescribe David Health using a standard medical prescription - see the example medical prescription for a David Health treatment

The treatment can begin within 4 to 6 months, depending on the patient's flexibility and available time slots.

The treatment can be repeated every two years for the same treatment protocol. However, no waiting period is required for a different protocol.

During this treatment, the patient is not considered unfit for work (and is therefore not on sick leave).