PATIENT BILL OF RIGHTS

En español

As a patient you have the RIGHT to:

  • Be informed of your rights in writing – to receive a copy of these rights and have them explained to you
  • Quality medical care
  • Facts and explanations on the “what, why and how “of your tests and exam
  • Full and up-to-date information on services and fees for services – to know the names and titles of staff responsible for your care
  • Determine how you would like to be contacted
  • Participate in experimental research or agree to be included only by giving informed written consent
  • Voice complaints or recommend changes in policies and services to agency staff
  • Be treated with dignity, compassion and respect for your privacy
  • Be free from any mental or physical abuse including use of restraints
  • Obtain a copy of your records, request a change to your record, or have confidential records released only with your written consent unless the information is needed for legally authorized purposes, and receive a list of disclosures upon written request
  • Exercise free will including the right to make independent personal decisions – no religious beliefs or practices shall be imposed on you
  • Not be discriminated against because of age, race, religion, sex, nationality or ability to pay
  • Not be deprived of any constitutional, civil, or legal rights because of receiving family planning services
  • Receive assessment, management and treatment of your pain
  • File a complaint and have it investigated promptly without fear of reprisal
  • Obtain a copy of the Notice of Privacy Practices

As a patient you have the RESPONSIBILITY to:

  • Keep appointments. Arrive 10 minutes in advance to complete paperwork and understand that arriving later may result in your appointment being rescheduled.
  • Be honest and complete about any information you give us (Remember: all information is confidential and can only be released with your written consent or disclosed under circumstances that are in accordance with state law)
  • Be open about all aspects of your health and health care both past and present
  • To participate in medical services which include lab tests and physical exam
  • Comply with the health center’s policy and procedures and follow instructions – if you do not understand please ask us to explain
  • Ask questions – if something is confusing or unclear let us know – we are here to help you
  • Pay your bill promptly so we can continue to provide quality care at low cost to all patients and provide information to ensure proper processing of insurance and payments
  • Call us immediately if you need help
  • Abide by the rules and regulations of patient conduct and responsibilities

Center personnel have the right to refuse treatment and services to any patient who is under the influence of drugs or alcohol or otherwise cannot give informed consent for services.