Where to complain about private dentistry. Poor quality dental service. Appeal to the Prosecutor's Office and the court

Complaint against a dentist official document, establishing the patient’s requirements and describing the essence of the emergence of such requirements. According to complaint– a citizen’s request for restoration or protection of his violated rights, freedoms or legitimate interests or the rights, freedoms or legitimate interests of other persons. Responding to a written complaint is mandatory for official bodies and organizations. In addition, the consideration of the complaint must be carried out in full accordance with the procedures and deadlines established by this .

We offer our sample complaint, in which we tried to take into account all typical situations. You can correct and supplement specified sample– the complaint does not have a mandatory prescribed form.

Before writing and filing a complaint against a dentist we recommend you:

receive free legal advice on patient rights, which will save your time;
familiarize yourself with the following materials on our resource: and.

Sample complaint against a dentist

Chief physician of a state (municipal (private) health care institution (name) (address)

Ministry of Health (name of authority executive branch subject Russian Federation with authority in the field of health protection) (address)

Prosecutor's office (name of the subject of the Russian Federation) (address)

Territorial body Federal service for supervision in the field of healthcare according to (name of the subject of the Russian Federation) (address)

from Last Name First Name Patronymic, residential address

(for example: Ivanov Ivan Ivanovich, Moscow, Moskovskaya st., 134, apt. 35)

Complaint about a dentist

I, Ivanov Ivan Ivanovich (indicate your last name, first name and patronymic - the latter if available), September 25, 2017 (indicate exact date events) felt unwell, namely (specify specific symptoms disease) and decided that I would need a dentist.

This circumstance served as the basis for my appeal to a medical healthcare institution (specify the type medical institution and its name, for example city clinic No. 9) for helping me medical care.

At the same time, the following unlawful actions (inactions) were taken against me in this institution, namely (select the one you need, and also add to your complaint detailed description situations and attach evidence):

I was denied medical services for next reason(describe the situation and the reason for the refusal, for example, “after it became clear that I applied to the place of temporary stay, I was denied medical care,” etc.);
I was provided with poor quality medical service;
medical assistance was provided untimely;
I was misdiagnosed;
the dentist refused to see the patient;
the doctor was negligent;
I was prescribed the wrong therapy;
after visiting the dentist, your health deteriorated;
had to bear excessive financial costs;
the doctor treated me rudely;
the dentist violated medical confidentiality

In accordance with Article 4 Federal Law“On the fundamentals of protecting the health of citizens in the Russian Federation” the main principles of health protection are: respect for the rights of citizens in the field of health protection and ensuring state guarantees related to these rights; priority of the patient's interests in the provision of medical care; accessibility and quality of medical care; inadmissibility of refusal to provide medical care; priority of prevention in the field of health care; maintaining medical confidentiality.

Based on the above, I request(select the one you need):

take action against the dentist (indicate the surname, first name and patronymic of the dentist),
reimburse me for expenses incurred,
correct the situation.

Date, personal signature of the person filing a complaint against the dentist

A dentist is a doctor whom no one can avoid meeting. Teeth will sooner or later need “repair”.

But what if the new filling falls out after a month or you have the wrong tooth pulled out? According to experts, patients are very often dissatisfied with the work of dentists. But, as a rule, things don’t go further than complaints to friends and acquaintances. But you can protect your rights! How to do this correctly? Tells Dmitry Lesnyak, Lawyer of the Society for the Protection of Consumer Rights.

The majority of Russians are for dental care go to state clinics. If treatment is free, then complaining about poor quality is pointless, many patients think. But that's not true. There are several rules that will help ensure the provision of quality services.

Require a plan

Elena turned to the state dental clinic: she wanted to get fillings, remove tartar, and treat her gums. I expected to finish it in a month, but the treatment lasted for six months. At the same time, the doctor could not really explain why all the procedures could not be carried out faster.

Your actions. When you first see your doctor, ask them to create a treatment plan and walk you through it. This is the responsibility (!) of every doctor. Then you will know what, when and how you will be treated. If the physician refuses to fulfill his duties, go to another one or complain to the administration of the medical institution.

If it seems to you that the treatment period is being delayed, ask your doctor to explain why this is happening. Perhaps you will agree with his arguments. If there are no reasonable arguments, verbally set a deadline by which you would like to complete all manipulations. If the doctor does not meet this requirement, submit a written complaint to the head of the medical institution.

The same goes for paid clinic. Request the development of a treatment plan. Remember: it is done for free. Having drawn up a plan, doctors will not be able to deliberately delay the process in order to extract as much money from you as possible. Of course, there are unforeseen cases: for example, you need to additionally delete. But general scheme treatment you should know from the beginning. And if the contract specifies a clear treatment period, you have the right to demand a penalty for delay.

Irina Mikhailovna had dental prosthetics done as usual dental clinic. When the work was finished, it turned out that the teeth and gums hurt unbearably. During a consultation with another doctor, it turned out that serious mistakes were made during treatment.

Your actions. This will require an expert evaluation of the treatment. However, the problem is that, in fact, in our country there is no independent medical examination. There are government bureaus that are overloaded with work, and the queues there stretch for years. You can, at your own expense, contact expert institutions created by dental associations, or a specialized dental educational medical institution (for example, medical school) and persuade them to conduct an examination. In Moscow, you can contact the city commission on the quality of dentures. Please contact the court with the results of the examination.

Another option is to write a complaint to the territorial department of Roszdravnadzor. This is the basis for an unscheduled inspection of a medical institution, therefore, having learned about your intentions, the clinic’s management will most likely prefer to correct the mistakes. In any case, Roszdravnadzor is obliged to respond to your complaint within a month, and if this does not help resolve the conflict, you need to go to court.

If we are talking about private clinic, contact the management, which must itself conduct an examination of the services provided and resolve the complaints. Are they refusing? Then go to court.

The main thing is the contract

Nikolai visited a private dentist. Each time he was given a cash receipt order, and he paid for the services. But in the end, the condition of the teeth only worsened. However, it was not possible to prove the fact of visiting a doctor - the documents were drawn up incorrectly.

Your actions. When you first contact a doctor, even for a consultation, insist on concluding a written agreement describing the already mentioned treatment plan, as well as the specific amount that you will be required to pay. If the scope of work during the treatment process needs to be increased, all manipulations are carried out only with your written consent, which is formalized in an additional agreement to the contract. This is a guarantee that you will be able to prove the fact of treatment in this clinic.

As for confirmation of payment, you should be given exactly cash receipt, and not a receipt or cash receipt order. Pick up the check on the day of payment, and not “sometime later.” Make sure that it indicates the organization you applied to, and not a shell company with an unclear name. Otherwise, if something happens, you will not be able to prove that they took money from you.

Your actions. The guarantee for treatment must be specified in the contract by law. However, the law does not regulate the length of the warranty period. The clinic itself can specify this period - 1 hour. Or 0 days. This will not be a violation. It’s bad if the contract says “quality guarantee” or “treatment guarantee.” We need an exact figure - say, “1 year warranty”.

Hello, Elena. In addition to my colleague’s answer, I will give you advice as a lawyer who specializes in cases related to medical errors. In order for you to start a “war” with unscrupulous orthopedic dentists, you first need to enlist the good support of specialists. To do this, it is first advisable to submit to the clinic (etc.) where you were provided with prosthetic services (at first, of course, therapeutic and surgical dental care should have been provided), an application (under a mark on the remaining copy) for the issuance of a copy of the medical record, where all actions of doctors to provide services should be reflected, research data should be stored (for example, X-rays, orthopangrams, etc.). I would not recommend requiring retreatment, since you have a sad experience of the first prosthetics. After receiving a copy of the card, and if time and health conditions cannot be tolerated, then now you need to contact another dental clinic where to get necessary help to eliminate the shortcomings of prosthetics. At the same time, it is imperative that the doctors who will provide assistance reflect in the medical record the current state of the dentofacial system, your complaints, data objective examination, research (if any are necessary), after which we drew up a treatment plan, which you must agree upon, and carried out retreatment, the entire course of which should be reflected in medical card(it is advisable that after each visit to specialists, they make photocopies of the entries in your medical record and have them certified). If there is a need to pay for services, you must obtain payment documents. After completion of treatment, you must present to the clinic where you received poor-quality prosthetics a written claim demanding the return of previously paid money, payment of the cost of retreatment, and compensation for moral damages. When preparing a claim, I would recommend enlisting the help of a doctor (preferably a dentist) or a lawyer who specializes in medical matters to make the claim more convincing. If in this case you are refused or there is simply silence in response to your claim, you need to apply to the court at your place of residence with a claim to recover from the clinic the above amounts, the penalty provided for by the law “On the Protection of Consumer Rights,” as well as a fine for unjustified refusal to satisfy your claims. You, as a consumer of the service, have the right to file a claim at your place of residence in accordance with Part 7 of Article 29 of the Civil Procedure Code of the Russian Federation and paragraph 2 of Article 17 of the Law “On Protection of Consumer Rights”. As a third party in the case, involve a doctor who performed poor-quality prosthetics, but the employing organization must be held responsible for his actions. Please note that you do not have to pay the state duty in accordance with subparagraph 4 of paragraph 2 of Article 333.36 Tax Code RF and paragraph 3 of Article 17 of the Law “On Protection of Consumer Rights”, since the claim arises from the said Law. Below I will provide some legal provisions that are relevant to my answer.

Articles from the Law “On Protection of Consumer Rights”:

Article 13. Responsibility of the manufacturer (performer, seller, authorized organization or authorized individual entrepreneur, importer) for violation of consumer rights

1. For violation of consumer rights, the manufacturer (performer, seller, authorized organization or authorized individual entrepreneur, importer) bears responsibility provided for by law or contract.

(as amended by Federal Law dated December 21, 2004 N 171-FZ)

2. Unless otherwise established by law, losses caused to the consumer are subject to compensation in the full amount in excess of the penalty (penalty) established by law or contract.

(Clause 2 as amended by Federal Law dated December 17, 1999 N 212-FZ)

3. Payment of a penalty (penalty) and compensation for losses do not relieve the manufacturer (performer, seller, authorized organization or authorized individual entrepreneur, importer) from fulfilling his obligations in kind to the consumer.

(as amended by Federal Law dated December 21, 2004 N 171-FZ)

4. The manufacturer (performer, seller, authorized organization or authorized individual entrepreneur, importer) is released from liability for failure to fulfill obligations or for improper fulfillment of obligations if he proves that the failure to fulfill obligations or their improper fulfillment occurred due to force majeure, as well as on other grounds, provided by law.

5. Consumer demands for payment of a penalty (fine) provided for by law or contract are subject to satisfaction by the manufacturer (performer, seller, authorized organization or authorized individual entrepreneur, importer) on a voluntary basis.

(as amended by Federal Laws dated December 17, 1999 N 212-FZ, dated December 21, 2004 N 171-FZ)

6. If the court satisfies the consumer’s requirements established by law, the court collects from the manufacturer (performer, seller, authorized organization or authorized individual entrepreneur, importer) for failure to voluntarily satisfy the consumer’s requirements a fine in the amount of fifty percent of the amount awarded by the court in favor of the consumer .

(as amended by Federal Law dated December 21, 2004 N 171-FZ)

If a statement is made in defense of consumer rights public associations consumers (their associations, unions) or bodies local government, fifty percent of the amount of the collected fine is transferred to the specified associations (their associations, unions) or bodies.

ConsultantPlus: note.

For compensation for damage caused as a result of defects in goods, works or services, see also paragraph 3 of Chapter 59 of the Civil Code of the Russian Federation.

Article 14. Property liability for damage caused as a result of defects in goods (work, services)

1. Damage caused to the life, health or property of a consumer due to design, production, prescription or other defects of a product (work, service) is subject to compensation in full.

2. The right to demand compensation for damage caused as a result of defects in a product (work, service) is recognized for any victim, regardless of whether he was in a contractual relationship with the seller (performer) or not.

3. Damage caused to the life, health or property of a consumer is subject to compensation if the damage was caused during the established service life or shelf life of the product (work).

If a product (result of work) should have a service life or expiration date established in accordance with paragraphs 2, 4 of Article 5 of this Law, but it is not established, or the consumer was not provided with complete and reliable information about the service life or expiration date, or the consumer was not informed about necessary actions upon expiration of service life or shelf life and possible consequences If the specified actions are not performed, or the product (result of work) after these deadlines poses a danger to life and health, the damage is subject to compensation regardless of the time it was caused.

If, in accordance with paragraph 1 of Article 5 of this Law, the manufacturer (performer) has not established a service life for the product (work), damage is subject to compensation if it is caused within ten years from the date of transfer of the product (work) to the consumer, and if the day of transfer cannot be determined , from the date of manufacture of the goods (completion of work).

Damage caused as a result of defects in the goods is subject to compensation by the seller or manufacturer of the goods at the choice of the victim.

Damage caused as a result of deficiencies in the work or service is subject to compensation by the contractor.

4. The manufacturer (performer) is responsible for damage caused to the life, health or property of the consumer in connection with the use of materials, equipment, tools and other means necessary for the production of goods (performance of work, provision of services), regardless of whether the level of scientific knowledge allowed and technical knowledge to reveal them special properties or not.

5. The manufacturer (performer, seller) is released from liability if he proves that the damage was caused due to force majeure or violation by the consumer of the established rules for the use, storage or transportation of goods (work, services).

ConsultantPlus: note.

For compensation for moral damage, see also paragraph 4 of Chapter 59 of the Civil Code of the Russian Federation.

Article 15. Compensation for moral damage

Moral damage caused to the consumer as a result of violation by the manufacturer (performer, seller, authorized organization or authorized individual entrepreneur, importer) of consumer rights provided for by laws and legal acts The Russian Federation, regulating relations in the field of consumer rights protection, is subject to compensation by the causer of harm if he is at fault. The amount of compensation for moral damage is determined by the court and does not depend on the amount of compensation for property damage.

(as amended by Federal Laws dated December 17, 1999 N 212-FZ, dated December 21, 2004 N 171-FZ)

Compensation for moral damage is carried out regardless of compensation for property damage and losses incurred by the consumer.

Article 29. Consumer rights when discovering deficiencies in the work performed (service provided)

1. When discovering deficiencies in the work performed (service provided), the consumer has the right, at his own discretion, to demand:

free elimination of deficiencies in the work performed (service provided);

corresponding reduction in the price of work performed (service provided);

free production of another thing from a homogeneous material of the same quality or repeat work. In this case, the consumer is obliged to return the item previously transferred to him by the contractor;

reimbursement of expenses incurred by him to eliminate deficiencies in the work performed (service provided) on his own or by third parties.

Satisfying the consumer's demands for the gratuitous elimination of defects, for the manufacture of another item, or for the repeated performance of work (provision of a service) does not relieve the contractor from liability in the form of a penalty for violating the deadline for completing the work (provision of a service).

(as amended by Federal Law dated December 17, 1999 N 212-FZ)

The consumer has the right to refuse to fulfill the contract for the performance of work (provision of services) and demand full compensation for losses if, within the established the specified agreement term, the deficiencies of the work performed (service provided) are not eliminated by the contractor. The consumer also has the right to refuse to fulfill the contract for the performance of work (provision of a service) if he discovers significant deficiencies in the work performed (service provided) or other significant deviations from the terms of the contract.

(as amended by Federal Law dated December 21, 2004 N 171-FZ)

The consumer also has the right to demand full compensation for losses caused to him in connection with deficiencies in the work performed (service provided). Losses are compensated within the time limits established to satisfy the relevant consumer requirements.

2. The price of the work performed (service rendered), returned to the consumer upon refusal to fulfill the contract for the work performed (service rendered), and also taken into account when reducing the price of the work performed (service rendered), is determined in accordance with paragraphs 3, 4 and 5 of Article 24 of this Law.

(as amended by Federal Law dated December 21, 2004 N 171-FZ)

3. Requirements related to deficiencies in the work performed (service provided) may be presented upon acceptance of the work performed (service provided) or during the performance of the work (service provided), or, if it is impossible to detect deficiencies upon acceptance of the work performed (service provided), in within the time limits established by this paragraph.

The consumer has the right to make claims related to defects in the work performed (service provided), if they are discovered during the warranty period, and in its absence, within a reasonable period, within two years from the date of acceptance of the work performed (service provided) or five years in relation to the defects in buildings and other real estate.

(Clause 3 as amended by Federal Law dated December 17, 1999 N 212-FZ)

4. The contractor is responsible for defects in the work (service) for which there is no warranty period, if the consumer proves that they arose before his acceptance of it or for reasons that arose before that moment.

In relation to the work (service) for which a warranty period is established, the contractor is responsible for its shortcomings, unless he proves that they arose after the consumer accepted the work (service) as a result of his violation of the rules for using the result of the work (service), actions of third parties or force majeure .

(Clause 4 introduced by Federal Law dated December 17, 1999 N 212-FZ)

5. In cases where the warranty period provided for in the contract is less than two years (five years for real estate) and defects in the work (service) are discovered by the consumer after the expiration of the warranty period, but within two years (five years for real estate), the consumer has the right to present the requirements provided for in paragraph 1 of this article, if he proves that such defects arose before his acceptance of the result of the work (service) or for reasons that arose before that moment.

(Clause 5 introduced by Federal Law dated December 17, 1999 N 212-FZ)

6. If significant deficiencies in the work (service) are identified, the consumer has the right to make a demand to the contractor to eliminate the deficiencies free of charge if he proves that the deficiencies arose before he accepted the result of the work (service) or for reasons that arose before that moment. This claim may be made if such defects are discovered after two years (five years in relation to real estate) from the date of acceptance of the result of work (service), but within the service life established for the result of work (service), or within ten years from the date of acceptance of the result of work (service) by the consumer, if the service life is not established. If this requirement is not satisfied within twenty days from the date of its presentation by the consumer or the detected defect is irreparable, the consumer, at his choice, has the right to demand:

(as amended by Federal Law dated December 17, 1999 N 212-FZ)

a corresponding reduction in the price for the work performed (service provided);

reimbursement of expenses incurred by him to eliminate deficiencies in the work performed (service provided) on his own or by third parties;

refusal to fulfill the contract for the performance of work (provision of services) and compensation for losses.

(as amended by Federal Law dated December 21, 2004 N 171-FZ)

Article 31. Time limits for satisfying individual consumer requirements

1. Consumer demands for a reduction in the price for work performed (service provided), for reimbursement of expenses to eliminate deficiencies in the work performed (service provided) on their own or by third parties, as well as for the return of the amount of money paid for the work (service) and compensation for losses caused in connection with the refusal to execute the contract, provided for in paragraph 1 of Article 28 and paragraphs 1 and 4 of Article 29 of this Law, are subject to satisfaction within ten days from the date of presentation of the corresponding demand.

(as amended by Federal Law dated December 21, 2004 N 171-FZ)

2. The consumer’s demands for the free production of another thing from a homogeneous material of the same quality or for the repeated performance of work (provision of a service) are subject to satisfaction within the time limit established for the urgent performance of work (provision of a service), and if this period is not established, in the period stipulated by the contract for the performance of work (provision of services), which was improperly fulfilled.

3. For violation of the deadlines for satisfying individual consumer requirements provided for in this article, the executor shall pay the consumer a penalty (fine) for each day of delay, the amount and procedure for calculation of which are determined in accordance with paragraph 5 of Article 28 of this Law.

In case of violation of the deadlines specified in paragraphs 1 and 2 of this article, the consumer has the right to present to the contractor other demands provided for in paragraph 1 of Article 28 and paragraphs 1 and 4 of Article 29 of this Law.

Article 1068 Civil Code RF. Responsibility legal entity or a citizen for harm caused by his employee

1. A legal entity or citizen shall compensate for damage caused by its employee in the performance of labor (official, official) duties.

In relation to the rules provided for in this chapter, employees are citizens who perform work on the basis of employment contract(contract), as well as citizens performing work under a civil contract, if they acted or were supposed to act on the instructions of the relevant legal entity or citizen and under his control over the safe conduct of work.

2. Business partnerships and production cooperatives compensate for damage caused by their participants (members) when the latter carried out entrepreneurial, production or other activities of the partnership or cooperative.

I wish you good luck and health. If you have any difficulties, you can contact us.

The applicant applied to the dental center for prosthetic services. The doctor offered to undergo treatment with them, promising the applicant high-quality work and a significant discount. The applicant concluded with dental center contract for the provision of dental services. Throughout the year, the applicant repeatedly contacted this center to correct rickety bridges. The applicant had acute attack pain accompanied by swelling and high temperature. She urgently went to the clinic, where they took an X-ray and discovered a serious purulent inflammatory process under the left bridge. The applicant requests termination of the contract for the provision of dental services. return the amount paid. Pay the costs to correct this situation.

OOO "__________"
Address: ____________________________
from ___________________________
Address: ___________________________

CLAIM

«___»____________ _________

I, _________________, applied to the dental center “____________” for prosthetic services. I was received by doctor ___________ She offered to undergo treatment with them, promising me high-quality work and a significant discount. ____________ I entered into an agreement with a dental center for the provision of dental services. I followed all the doctor’s orders and went through all the recommended procedures. At the beginning of ________, bridges were installed for me. In total, I paid _________ rubles for all services. Throughout the year, I repeatedly contacted this center to correct rickety bridges.
_____________ year I had an acute attack of pain, accompanied by swelling and high fever. I urgently went to the clinic, where they took an X-ray and discovered a serious purulent inflammatory process under the left bridge. On the same day, I had 3 teeth urgently removed. I was prescribed a long course of treatment and was deprived of my ability to work. I had to pay for these services in the amount of __________ rubles. As a result of this whole situation, my pancreas has worsened (as a result chronic pancreatitis and cholecystitis)
According to clause 5 of this contract for the provision of dental services, the PROVIDER is responsible for the services provided as provided for by current legislation.
The customer's payment obligations cash performed properly for the services.
There is a relationship between the Seller and the Buyer arising from the purchase and sale agreement, which is regulated by Chapter 30 of the Civil Code of the Russian Federation.
In accordance with Article 454 of the Civil Code of the Russian Federation, under a sales contract, one party (seller) undertakes to transfer the thing (product) into ownership of the other party (buyer), and the buyer undertakes to accept this product and pay a certain amount of money (price) for it.
In accordance with paragraphs 1 and 2 of Article 469 of the Civil Code of the Russian Federation, the seller is obliged to transfer to the buyer goods whose quality corresponds to the purchase and sale agreement. If there are no conditions in the sales contract regarding the quality of the goods, the seller is obliged to transfer to the buyer goods suitable for the purposes for which goods of this kind are usually used. If the seller, at the conclusion of the contract, was informed by the buyer about specific purposes acquisition of goods, the seller is obliged to transfer to the buyer goods suitable for use in accordance with these purposes.
Under the terms of the Agreement, there is no warranty period for these services.
According to Article 5 of the Federal Law “On the Protection of Consumer Rights” for goods (work) intended for long-term use, the manufacturer (performer) has the right to establish a service life - the period during which the manufacturer (performer) undertakes to provide the consumer with the opportunity to use the product (work) for its intended purpose and bear responsibility for significant deficiencies.
The manufacturer (executor) is obliged to establish the service life of durable goods (work), including components, which after a certain period may pose a danger to the life and health of the consumer, cause damage to his property or environment.
The service life of a product (work) can be calculated in units of time, as well as other units of measurement (kilometers, meters and other units of measurement based on functional purpose product (result of work)).
The sale of goods (performance of work) after the expiration of the established expiration date, as well as goods (performance of work) for which an expiration date should be established, but is not established, is prohibited.
The seller has the right to establish a warranty period for the product if it is not established by the manufacturer.
The seller has the right to accept an obligation in relation to defects in the goods discovered after the expiration of the warranty period established by the manufacturer (additional obligation).
The content of the seller's additional obligation, the validity period of such an obligation and the procedure for the consumer to exercise rights under such an obligation are determined by the agreement between the consumer and the seller.
The warranty period for the goods is calculated from the moment of signing the Transfer and Acceptance Certificate. I didn't sign anything like that.
Due to the current situation, I was left without money and without teeth. I am forced to go to another clinic for quality treatment. In another clinic this service costs _________ rubles.
According to clause 1 of Article 18 of the Law “On the Protection of Consumer Rights”, in relation to a technically complex product, the consumer, if defects are discovered in it, has the right to refuse to execute the sales contract and demand a refund of the amount paid for such a product or make a demand for its replacement with a product of the same brand (model, article) with a corresponding recalculation of the purchase price within 15 (fifteen) days from the date of transfer of such goods to the consumer. After this period, these requirements are subject to satisfaction in one of the following cases: detection of a significant defect in the goods; violation of the deadlines established by this Law for eliminating product defects.
According to clause 1 of Article 19 of the Law “On Protection of Consumer Rights”, the consumer has the right to make demands against the seller (manufacturer, authorized organization or authorized individual entrepreneur, importer) regarding defects in the goods if they are discovered during the warranty period or expiration date.
In accordance with paragraph 2 of Article 450 of the Civil Code of the Russian Federation, significant defects are understood as defects that cannot be eliminated or the elimination of which requires disproportionate expenses or time, or that reappear after their elimination, as well as other defects due to which the buyer is deprived of what he had the right to count on when concluding the contract, including the possibility of using the goods for their intended purpose.
Consequently, the Seller duly significantly violated the quality requirements for the goods transferred to the Buyer.
According to Article 309 of the Civil Code of the Russian Federation, obligations must be fulfilled properly in accordance with the conditions and requirements of the law, other legal acts, and in the absence of such conditions and requirements - in accordance with business customs or other usually imposed requirements.
In accordance with clause 2 of Article 475 of the Civil Code of the Russian Federation, in the event of a significant violation of the requirements for the quality of goods (detection of fatal deficiencies, deficiencies that cannot be eliminated without disproportionate costs or time, or are identified repeatedly, or appear again after their elimination, and other similar defects), the buyer has the right, at his own discretion:
- refuse to fulfill the contract and demand the return of the amount of money paid for the goods;
- demand replacement of goods of inadequate quality that comply with the contract.
Based on the above, guided by Articles 5, 18, 19 of the Law “On Protection of Consumer Rights”, Articles 309, 314, paragraph 2. Article 450, Article 454, paragraph 1, 2 Article 469, paragraph 2 Article 475 of the Civil Code of the Russian Federation

1. Terminate the contract for the provision of dental services concluded between LLC “___________” and me, __________________.
2.Refund the paid amount in the amount of ___________ rubles.
3. Pay the costs of correcting this situation in the amount of ____________ rubles
4. Refund legal expenses in the amount of ______ rubles.
In case of non-transfer of funds within 7 days from the receipt of this claim to LLC "_________", complaints will be sent to Rospotrebnadzor of ________, and statement of claim to court.

Application:
1.Copy of the Dental Services Agreement.
2.Copies of receipts

"___"____________ year _______________