Rights and Responsibilities

Patients’ Rights

As our patient, you have a right to:

  • Be treated with respect, giving consideration to your right to privacy and the need to maintain confidentiality of your medical information.
  • Receive health care services regardless of your race, ethnicity, national origin, religion, sex, age, mental or physical disability or medical conditions, sexual orientation, claims experience, medical history, evidence of insurability (including conditions arising out of acts of domestic violence), genetic information, or source of payment.
  • Participate in decision making regarding your own health care, including the right to refuse treatment.
  • Have a candid discussion regarding appropriate or medically necessary treatment options for conditions, regardless of the cost or benefit coverage.
  • Receive care coordination.
  • Voice grievances, either verbally or in writing, regarding the care received.
  • Request an appeal of decisions to deny, defer, or limit services or benefits.
  • Receive oral interpretation services for your language.
  • Have access to, or where legally appropriate, receive copies of, ament or correct your medical record.
  • Be represented by parents, guardians, family members or other conservators if you are unable to fully participate in treatment decisions.
  • Request and receive information about how medical treatment decisions are made as well as the criteria or guidelines applied when making such decisions
  • Be notified following a breach of your unsecured protected health information.

Patients’ Responsibilities

Our patients share responsibility for their care, including:

  • Be familiar with the benefits, limitations and exclusions of your health plan coverage.
  • Supply your health care provider with complete and accurate information which is necessary for your care (to the extent possible).
  • Be familiar and comply with our rules for receiving routine, urgent, and emergency care.
  • Contact your Primary Care Physician (or covering doctor) for any non-urgent or emergency care that you may need after the doctor’s normal office hours, including on weekends and holidays.
  • Be on time for all appointments and notify the physician’s or other provider’s office as far in advance as possible for appointment cancellation or rescheduling.
  • Obtain an authorized referral form from your PCP before making an appointment with a specialist and/or receiving any specialty care.
  • Understand your health problems, participate in developing mutually agreed upon treatment goals to the degree possible, and inform your doctors and health care providers if you do not understand the information they give you.
  • Follow treatment plans and instructions for care you have agreed on with your doctors and healthcare providers, and report changes in your condition.
  • Accept your share of financial responsibility for services received while under the care of a physician or while a patient at a facility.
  • Treat your doctors and health care providers and their office staff with respect.
  • Respect the rights, property and environment of your physicians and health care providers, their staff and other patients