Your Rights as a Physical Therapy Patient
Access to Care
- Receive quality physical therapy services without discrimination
- Be treated with respect, dignity, and consideration
- Receive care that is appropriate for your condition
- Request a second opinion or change your physical therapist
Information and Communication
- Receive complete information about your diagnosis, treatment plan, and prognosis
- Have your questions answered clearly and completely
- Access your medical records as permitted by law
- Receive information about service charges and payment policies
Privacy and Confidentiality
- Have your personal and medical information kept confidential
- Private treatment space when necessary
- Review and receive copies of your medical records
- Approve or refuse release of your records
Treatment Decisions
- Participate in developing your plan of care
- Refuse treatment within the confines of the law
- Be informed of the consequences of refusing treatment
- Receive information about alternative treatment options
Your Responsibilities as a Patient
Providing Information
- Provide accurate medical history
- Inform staff of changes in your condition
- Report any safety concerns immediately
Participation
- Follow the treatment plan as prescribed
- Attend scheduled appointments
- Provide 24-hour notice for appointment cancellations
- Participate actively in your rehabilitation program
Financial Obligations
- Provide accurate insurance information
- Pay copayments and deductibles as required
- Discuss any financial concerns promptly
Conduct
- Treat staff and other patients with respect
- Follow facility rules and regulations
- Maintain appropriate hygiene
- Avoid disruptive behavior
Acknowledgment
I have read and understand my rights and responsibilities as a physical therapy patient.
Patient Name: _________________
Signature: ____________________
Date: ________________________