Your Rights as a Patient
Access to Care
- Receive appropriate medical care regardless of race, religion, gender, or economic status
- Obtain complete information about your diagnosis, treatment, and prognosis
- Access your medical records as permitted by law
Quality of Care
- Receive care from qualified healthcare professionals
- Participate in decisions regarding your treatment plan
- Obtain information about alternative treatments
- Receive appropriate pain management
Privacy and Dignity
- Have your medical information kept confidential
- Be treated with respect and dignity
- Receive care in a safe environment
- Have your cultural and personal values respected
Your Responsibilities as a Patient
Information Disclosure
- Provide accurate and complete medical history
- Inform providers about current medications and supplements
- Report any changes in your condition
Treatment Compliance
- Follow the prescribed treatment plan
- Attend scheduled appointments
- Participate actively in your rehabilitation program
- Complete recommended exercises and physical therapy
Financial Obligations
- Provide accurate insurance information
- Meet financial obligations for services received
- Discuss financial concerns with our billing department
Facility Policies
- Follow clinic rules and regulations
- Treat staff and other patients with respect
- Provide 24-hour notice for appointment cancellations
Questions and Concerns
If you have questions about your rights and responsibilities or need to report a concern, please contact our Patient Advocate at [PHONE NUMBER].
By signing below, you acknowledge that you have read and understand these rights and responsibilities.
Signature: _________________ Date: _________________