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You have the right to:

Choose your provider of service.

Accept or decline service.

Receive services with the respect ordinarily conferred to all other individuals regardless of age, beliefs, national or ethnic origin, or financial status.

Be informed of the name & credentials of all personnel providing service, & for those individuals to be qualified to provide you with the level of service expected of those credentials.

Receive an explanation of any document you are requested to sign, &/or receive an explanation of any company policies which might apply to you.

Be fully informed of any known risks, benefits, &/or appropriate alternatives to treatment, if any.

Participate in the formulation & progression of your individual treatment plan.

Expect continuity of care.

Have your personal property treated with respect.

Have your confidentiality respected at all times & under all circumstances.

To have access to your medical records, ask questions, & to have corrections made if necessary.

Ask questions, make recommendations, or express grievances without fear of reprisal or of negative impact on your level of service, & to receive a timely response to any questions or requests for information.

You have the responsibility to:

Provide accurate & complete health history, including medications & allergies, current addresses & phone numbers, emergency contact information, as well as your physician(s) & current insurance information.

Notify us immediately in any changes in your address, phone number, emergency contact information, treating physician(s), or insurance status.

Report any changes in your condition, including medication changes, whether they directly affect your care or not.

Seek medical care when so requested by your caregiver, & to remain under medical supervision for as long as is necessary, prudent, or reasonable.

Participate in your treatment planning process.

Ask questions if you do not understand an explanation, instruction, procedure, reaction, or outcome.

Comply with your home exercise program & all safety instructions provided, both verbally & in writing.

Assist in ensuring a safe environment for your treatment.

Notify us of upcoming physician's appointments.

Cancel appointments in advance if you will be unable to keep them.

Submit payment for supplies or coinsurance in a timely manner.

Inform us if you are dissatisfied with any aspect of your care.

Treat our personnel with the respect ordinarily conferred to all other individuals regardless of age, beliefs, national or ethnic origin, or financial status.

 





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Last modified: July 23, 2000