Your Rights as a Patient
Access to Care
- Receive care regardless of race, gender, age, national origin, religion, or disability
- Obtain complete information about your diagnosis, treatment, and prognosis
- Access your medical records as permitted by law
Quality of Care
- Receive safe, high-quality medical care from qualified professionals
- Have your pain assessed and managed appropriately
- Participate in all decisions about your treatment
- Receive emergency care when needed
Privacy and Dignity
- Have your privacy protected during medical consultations and procedures
- Be treated with respect and consideration
- Receive care in a safe, clean environment
- Have all medical information kept confidential
Information and Communication
- Receive detailed information about procedure costs and payment options
- Know the names and roles of healthcare providers involved in your care
- Get clear explanations about your condition and treatment options
- Voice concerns without fear of discrimination
Your Responsibilities as a Patient
Providing Information
- Supply accurate, complete medical history
- Inform staff about current medications and supplements
- Report unexpected changes in your condition
- Provide accurate insurance and payment information
Following Treatment Plans
- Follow pre-operative and post-operative instructions
- Attend scheduled appointments
- Participate actively in your recovery process
- Complete recommended follow-up care
Financial Obligations
- Meet financial commitments for care received
- Provide current insurance information
- Understand your insurance coverage
- Arrange payment plans if needed
Facility Policies
- Follow facility rules and regulations
- Be respectful to staff and other patients
- Arrive on time for appointments
- Provide 24-hour notice for appointment cancellations
Acknowledgment
I have read and understand my rights and responsibilities as outlined above.
Patient Name: _________________
Date: _________________
Signature: _________________