Patient rights are the following:
1. To participate in all decisions involving your care or treatment.
2. To be informed about whether the provider is participating in teaching programs, and to provide
informed consent prior to being included in any clinical trials relating to your care.
3. To refuse any drug test, procedure, or treatment and to be informed of the risks and benefits of this
action.
4. To care and provide treatment that is respectful, recognizes a person’s dignity, cultural value and
religious beliefs, and provides for personal privacy to the extent possible during the course of treatment.
5. To know the names, professional status, and experience of the staff who are providing care or
treatment to the patient.
6. To receive, upon request:
a. Prior to initiation of care or treatment, the estimated average charge from our practice.
b. The general billing procedure.
c. An itemized bill that identifies treatment and services by date.
7. To give informed consent for all treatment and procedures.
8. To register complaints with the provider and to be informed of the procedure for registering complaints
including contact information.
9. To be free of abuse and neglect.
10. To be free of the inappropriate use of restraints.
11. Care delivered by the organization in accordance with the needs of the patient.
12. To confidentiality of medical records per the HIPAA regulations.
13. To receive care in a safe setting.
Patient responsibilities are the following:
1. To provide, to the best of his/her knowledge, accurate and complete information about present
symptoms, past illnesses, hospitalizations, medications, and other matters relating to your health.
2. To report the unexpected changes in your condition to the responsible practitioner.
3. To report whether you clearly comprehends the proposed treatment course and what the expectations
are.
4. To follow the treatment plan.
5. To follow instructions of the nurses, counselors, and allied health professionals as they carry out the
treatment plan, physician’s orders, and enforce the applicable regulations.
6. The patient is responsible for the outcomes of refusing treatment or not following the treatment plan.
7. Assuring that the financial obligations of your health are fulfilled as promptly as possible.
8. Following organizational rules and regulations affecting patient care and conduct.
9. Being considerate of the rights of other patients and organizational personnel. The patient is
responsible for being respectful of the property of other patients and the organization.
If you feel as if your rights have been violated there is a process for addressing any complaints or concerns. All
complaints are taken seriously and a thorough investigation is completed. No retaliation will be taken against a
patient for reporting any rights violations or complaints. Complaints within the facility may be directed to the
Program Coordinator.
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