Patient Rights & Responsibilities

Notice of Patient Rights
You, the patient, as well as your family have rights and responsibilities while undergoing medical care. If there are any questions regarding the contents of this form please notify any staff member.

Access to Care
Patients shall be provided impartial access to treatment or accommodations as to their requests and needs for treatment or service that are within this practice’s capacity, availability, stated mission, and applicable law and regulation. This is regardless of race, creed, sex, national origin, religion, disability/handicap or source of payment of care/services.

Respect and Dignity
Every patient has the right to considerate, respectful care/services at all times and under all circumstances, with recognition of his or her personal dignity and his or her psychosocial, spiritual, and cultural variables that influence the perceptions of illness.

  • Have the right to review his or her medical records and have the information explained, except when restricted by law.
  • Request a transfer to another treatment room if another patient or visitor is unreasonably disturbing him.

Personal Safety
The patient has the right to expect reasonable safety insofar as the clinic practices and environment are concerned.

Identity
The patient has the right to know the identity and professional status of individuals providing service to the patient. This includes the right to know of the existence of any professional relationship among individuals who are treating him or her, as well as the relationship of the practice to any other health care/services or educational institution involved in his or her care/services. Participation by patients in clinical training programs or research should be voluntary.

Information
The patient or his or her parent or legally designated representative has the right to obtain from the practitioner complete and current information concerning his or her diagnosis (to the degree known), treatment and any known prognosis. This information should be communicated in terms the patient or his or her parent or legal designated representative can reasonably be expected to understand. When it is not medically advisable to give such information to the patient, the information should be made available to a legally authorized individual.

Communication
When the patient or his or her parent or legally designated representative does not speak or understand the predominant language of the community, he or she should have access to an interpreter. This is particularly true where language barriers are a continuing problem.

Right of Refusal of Treatment
The patient or his or her parent or legally designated representative has the right to accept medical care/services or to refuse treatment to the extent permitted by law and to be informed of the medical consequences of such refusal. When refusal of treatment by the patient or his or her parent or legal designated representative prevents the provision of appropriate care/services in accordance with ethical and professional standards, the relationship with the patient may be terminated upon reasonable notice.

Transfer and Continuity of Care
A patient has the right to expect that the clinic/facility will give necessary health services to the best of its ability. Treatment, referral or transfer may be recommended. If transfer is recommended or requested, the patient will be informed of risks, benefits and alternatives. The patient will not be transferred until the other institution agrees to accept such patient.

Notice of Patient Responsibilities
You, the patient, as well as your family have rights and responsibilities while undergoing care at AltCare Health Center.

Keep Your Health Care Providers Accurately Informed
You have the responsibility to provide, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters relating to your health, including changes in your condition.

Follow Your Treatment Plan
You (or your parent or legally designated representative) are responsible for following the treatment plan recommended by the physician. This may include following the instructions of health care personnel as they carry out the coordinated plan of care/services and implement the physician’s.

Be Considerate of Others
Please be considerate of the rights of other patients and staff.

Be Responsible for Your Own Lifestyle Choices
Your health depends not just on your care/services but in the long term, on the decisions you make in daily life.