Patient Rights & Responsibilities

Patients have the right to:

• be treated with dignity and respect.

• know the names and credentials of the health care team involved in your care.

• be provided appropriate privacy.

• confidentiality of all information and records regarding your care.

• receive accurate information about your diagnosis, evaluation, treatment, and prognosis.

• participate in decisions involving your health care except when such participation is contraindicated for medical reasons.

• select and/or change your healthcare provider depending on availability.

• obtain a copy of your medical record.

• information regarding patient rights and responsibilities, services available, provisions to after-hours care, fees for services, payment policies, and accurate information regarding the competence and capabilities of the organization.

Patients have the responsibility to:

• provide an accurate and complete medical history including current and past illnesses, medications, dietary supplements and allergies or sensitivities.

• comply with the treatment plan prescribed by your provider or express concerns about your ability to comply.

• report any significant change in symptoms or failure to improve.

• provide a responsible adult to transport you home from the facility and remain with you for 24 hours if required by your provider.

• provide current contact information and any information needed for processing insurance claims in a timely manner.

• to understand the coverage provided by your insurance policy and accept personal financial responsibility for any charges not covered by your insurance.

• arrive at your appointment on time.

• register a complaint or provide useful feedback regarding services to the clinic staff or through the Health Services website feedback form.

• treat fellow patients and Health Services staff with the same courtesy and respect that you expect from them in return.

Revised May, 2012