The income is assessed each month for doctors in private practice or working as self-employed collaborators and each quarter for students or doctors working on a locum basis.
At the end of each month or each quarter in application of the previous paragraph, the signatory of the contract for the commencement of practice sends the co-signatory regional health agency a declaration summarising, for the month or quarter that has just ended, the amount of acts performed at the opposable tariff and the income from permanent care that he has received.
By way of derogation from the preceding paragraphs, at the request of the signatory practitioner when the contract is signed, the declaration and the calculation of the additional remuneration may be carried out per calendar year, if the practitioner practices in an area or commune that meets the criteria defined in article 3 of law no. 85-30 of 9 January 1985 relating to the development and protection of mountain areas or in article R. 133-32 of the Tourism Code and all or part of whose territory is more than thirty minutes from the nearest emergency service. In this case, the ceiling and threshold provided for in article R. 1435-9-7 are calculated on an annual basis.