Your Rights as a Patient
Medical Care Rights
- Receive high-quality neurosurgical care regardless of race, religion, gender, or economic status
- Be treated with dignity and respect by all healthcare providers
- Access complete information about your diagnosis and treatment options
- Participate in all decisions regarding your care
- Receive emergency care when medically necessary
Information Rights
- Obtain detailed explanations of your condition in terms you can understand
- Know the names and roles of your healthcare team members
- Access your medical records as permitted by law
- Receive information about the costs and insurance coverage of your care
Privacy Rights
- Have your medical information kept confidential per HIPAA regulations
- Receive care in a private and secure environment
- Choose who can visit you during hospitalization
- Designate individuals who may receive information about your care
Your Responsibilities as a Patient
Communication Responsibilities
- Provide accurate and complete medical history
- Inform healthcare providers about current medications and supplements
- Report any changes in your condition promptly
- Ask questions when you don't understand something
Treatment Responsibilities
- Follow the agreed-upon treatment plan
- Attend all scheduled appointments
- Provide advance notice if unable to keep appointments
- Comply with pre- and post-operative instructions
Financial Responsibilities
- Provide accurate insurance and billing information
- Meet financial obligations for care received
- Communicate any financial concerns promptly
Facility Rules and Safety
- Follow hospital or clinic rules and regulations
- Respect the rights of other patients and staff
- Maintain a safe and clean environment
- Refrain from disruptive behavior
Acknowledgment
I acknowledge that I have read and understand my rights and responsibilities as a neurosurgical patient.
Patient Name: _________________
Date: _________________
Signature: _________________