Patient Rights And Responsibilities
The following reflects your rights and responsibilities as we partner with you to provide your care. You may request a printable version by emailing our Registration and Records department at firstname.lastname@example.org.
You have the right to:
- Treatment that is respectful, inclusive and free from discrimination.
- Request and receive translation services in the language of your choice.
- Access to all health information in your electronic medical record.
- Appropriate privacy.
- Confidentiality—except when required by law, you are given the opportunity to approve or refuse release of your records.
- Be provided, to the degree known, complete information concerning your diagnosis, evaluation, and treatment and prognosis.
- Participate in decisions involving your health care.
- Treatment by the health care provider of your choice including the right to request to change providers.
- Refuse medical treatment to the extent permitted by law and to be informed of medical consequences of your actions.
- Provide suggestions and /or register a complaint.
- Information regarding services, hours, after-hours services, fees, payment policies, advance directives.
- Information regarding credentialing of health care professionals.
- Decline to have a medical resident or student participate in your care.
- Ask adequate questions to ensure understanding of your health problem and treatment.
You have the responsibility to:
- Provide complete and accurate information to the best of your ability about your health history and current health status; any medications including over-the-counter products and dietary supplements, and any allergies or sensitivities.
- Be respectful of all the health care providers and staff, as well as other patients.
- Follow the treatment plan agreed to by you and your provider and accept personal responsibility for refusing treatment.
- Provide a responsible adult to transport you home from the facility and remain with you for 24 hours, if requested by your provider.
- Inform your provider about any living will, medical power of attorney or other directive that could affect your care.
- Provide accurate and current information regarding health insurance coverage.
- Accept personal financial responsibility for any charges not covered by your insurance for services received.
- Consult your medical care provider if your health problem doesn't follow the expected course.
- Keep informed regarding our services, hours of operation, regulations and policies.
- Arrive on time for all scheduled appointments. If unable to attend, cancel within the timeframe established by the clinic.
- Complete all required paperwork and surveys prior to your appointment and ensure your phone number and email address are kept up to date with our organization.