1
Receive care regardless of age, race, gender, religion, national origin, sexual orientation, or physical/mental disability.
2
Receive attention when you request help, with the understanding that other patients may have more urgent needs.
3
To be addressed by your proper name.
4
Receive care provided in a safe setting.
5
Receive care from staff committed to pain prevention and management.
6
Receive coordination of foreign language interpretation services, if needed.
7
Be informed of the names of the doctors, nurses, and other team members directly involved in your care.
8
Receive information about your diagnosis, treatment, and expected outcomes from your attending physician.
9
Receive information on the planned course of treatment, including explanations about procedures.
10
Receive information on the risks, benefits, and alternatives of your treatment.
11
Receive information about pain and pain relief measures.
12
Freedom from the use of seclusion or restraints unless clinically required.
13
Have the right to make decisions about your plan of care before and during treatment, when medically possible.
14
Have the right to refuse a recommended treatment, to the extent permitted by law, and to be informed of the medical consequences of refusal.
15
Have the right to leave the hospital against the advice of your doctor. In such cases, the hospital and doctors will not be responsible for any medical consequences.
16
Have the right to decline participation in or withdraw from any research study related to your illness at any time, without affecting your hospital care.
17
Have the right to treat your communications and medical records with confidentiality, within the confines of the law.
18
Have the right to review or obtain a copy of your medical record according to hospital policy and have the information explained by a physician.
19
Have the right to add information to your medical record by contacting the medical records department.
20
Have the right to be informed of care options when hospital care is not indicated, with assistance in coordinating alternatives.
21
Have the right to question the accuracy of your hospital and physician bills.
22
Have the right to request a summarized list of charges and obtain information about those charges.
23
Have the right to be informed of any payments made towards your bills.
24
Receive assistance from the Quality Department in resolving complaints or grievances regarding your treatment.
25
Have the right to contact the Quality Management & Patient Safety Department at Ext: 8252 – 8257.
PATIENT RESPONSIBILITIES
1
Be honest and provide complete and accurate information about your health.
2
Provide Personal Information When Necessary.
3
Ask Questions When You Don’t Understand.
4
Collaborate on Pain Management.
5
Be on time for appointments and call as soon as possible if you are unable to keep them.
6
Leave Valuables at Home.
7
Abide by Hospital Rules and Regulations.
8
Treat hospital staff, other patients, and visitors with courtesy and respect.
9
Provide Accurate Information for Insurance Claims.
10
Pay your hospital and physician bills in a timely manner.
11
Ask questions if there are any financial issues related to your insurance or billing.
