Privacy

You and your child have the right to privacy and confidentiality. People who are not involved in your care may not receive information about you without your permission. You and your child are entitled to know what role any observer has in your care and to have any observers unrelated to your care leave if you so request. You and your child have the right to a copy of your medical record within a reasonable time frame (approximately 10 days) after your written request has been received by us.

Respect

You and your child are important and unique, and we will respect you, introduce ourselves to you, explain our role in your care, and listen to you. We will respect your individual values and your religious beliefs. Each patient has the right to the best medical care required and available, without consideration of race, color, national ancestry, age, sex, physical or mental disability, religion or ability to pay.

Information

You and your child have the right to be fully informed about your health status, recommended treatment, alternatives, benefits and risks and to be involved in your plan of care and treatment. You and your child may ask questions about your care at any time and we will answer them honestly and clearly.

Pain Management

As a patient, you have the right to information about pain and pain relief measures. You and your child are entitled to an informed and concerned staff member who will respond quickly to reports of pain with the best method of pain relief that may safely be provided. You and your child are responsible for asking your doctor or nurse about what pain to expect and what options are available for pain management. You will need to ask for pain relief when the pain first begins, help the doctor or nurse measure your pain, and inform the doctor or nurse if your pain is not relieved.

Quality

Trained professionals will work together to care for you. You and your child have the right to know the name of the physician responsible for your treatment and to speak with that physician and others involved in your care.

Choices

You and your child have the right to request a second opinion regarding your treatment and to request the names of other physicians able to provide such a second opinion.

Conflicts

In the event of a conflict concerning the care of a patient, the practice administrator, along with the doctor if necessary, will work with the patient and family to reach a resolution.

Patient Responsibilities

You are responsible for providing accurate and complete medical and insurance information to your physician and our staff at the time of service.

You are responsible for following the treatment plan developed by your physician.

You are responsible for the health consequences if you refuse medical treatment or do not follow your physician’s treatment plan.

You are financially responsible for the care that is provided to you by our office.

You are responsible for following our office rules and regulations regarding medical care and conduct.

You are responsible for being considerate of the rights and needs of other patients and our staff.

You are responsible for your own personal property and for being respectful of the property of other patients and staff.