Patient Rights & Responsibilities

• To be treated with dignity and respect.
• To know the names and professional status of people serving you.
• To privacy.
• To confidentiality.
• To receive accurate information about your health-related concerns.
• To know the effectiveness, possible side effects, and problems of all forms of treatment.
• To participate in choosing a form of treatment.
• To receive education and counseling.
• To consent to, or refuse, care and/or treatment and be informed of medical consequences.
• To select and/or change your health care provider.
• To review your medical records with a clinician.
• To information about services and related costs.
• To schedule an appointment.
• To cancel your appointment.
• To request written documentation of treatment. (Doctor's Note)

You Have the Responsibility...

• To seek medical attention promptly and to be honest about your medical history.
• To ask about anything you do not understand.
• To follow health advice and medical instruction and to report any significant changes in symptoms or failure to improve.
• To seek non-emergency care during regular hours.
• To provide useful feedback about services and policies.
• To pay any charges billed to you.
• To provide any information necessary for processing insurance/pharmacy claims.
• To undertake preventive health practices which promote health and safety and delay or avoid disease and injury.
• To register complaints or provide suggestions.
• To cancel 3 hours prior to appointment time or a $10.00 fee will be charged to your account.
• To keep your appointment. If you are 15 minutes late you will be rescheduled and a $10.00 fee will be charged to your account.
• To ask the front desk for documentation of treatment (Doctor's Note) as you check out.