PATIENT RIGHTS & RESPONSIBILITIES

Each patient has the right:


To considerate and respectful care.
To obtain from his/her physician complete current information
concerning his/her diagnosis, treatment and prognosis in terms
the patient can be reasonably expected to understand.
To participate in decisions involved in his/her care and to receive
from his/her physician information necessary to give informed
consent prior to the start of any procedure and/or treatment.

To know the name of the person responsible for the procedure
and/or treatment.
To refuse treatment to the extent permitted by law and to be
informed of the medical consequences of his/her action.
To every consideration of his/her privacy concerning his/her
medical care.
To expect that all communications and records pertaining to his/
her care, including financial records, should be treated as
confidential and not released without written authorization by
the patient.
To obtain information as to any relationship of this facility to other
health care and educational institutions insofar as his/her care is
concerned. The patient has the right to obtain information as to
the existence of any professional relationships among individuals,
by names, which are treating him/her.
To know if research will be done and the right to refuse to
participate in such research projects.
To expect reasonable continuity of care. The patient has the right
to expect that this facility will provide a mechanism whereby he/
she is informed by his/her physician of the patient’s continuing
health care requirements following discharge.
To examine and receive an explanation of his/her bill regardless of
the source of payment and to be informed regarding the fees for
procedures performed in the center. The patient has a right to be
informed of third party coverage including Medicare and Arizona
Health Care Cost Containment System.
To know what facility rules and regulations apply to his/her
conduct as a patient.
To request information about the grievance process at the facility.
If a patient has grievance with the facility, he/she has the right to
speak immediately with the Director of Nursing or the substitute
person assigned to answer the grievances. A formal written
grievance may be completed for further review of the grievance.
All complaints will be reviewed within 60 days.
To be free from chemical, physical, psychological abuse or neglect.
To timely and appropriate pain management.
To choose where to receive services, including a facility where his/
her physician does or does not have an ownership interest.

Each patient has the responsibility:


To read and understand all documents, consents and
authorizations. If you do not understand, it is your
responsibility to ask the nurse or physician for clarification.
To fully participate in decisions involving his/her own health care and
to accept the consequences of these decisions if complications
occur.
To provide complete and accurate information to the best of his/her
ability about his/her health, any medications, including over- the counter
products and dietary supplements and allergies and
sensitivities.
To provide a responsible adult to transport him/her home from the
facility.
To inform his/her provider about any living will, medical power of
attorney, or other directive that could affect his/her care.􀀃
To assure all financial obligations for services are fulfilled as promptly
as possible and to assume ultimate responsibility for payment
regardless of insurance coverage.
To be respectful of all health care providers and staff, as well as other
patients.
To follow his/her doctor’s instructions, take medication when prescribed,
and ask questions concerning his/her own health care
that he/she feels are necessary.
To contact the physician or nurse regarding any post-operative
questions or problems.

QUICK LINKS
OUR ADDRESS

15547 North Reems Rd.

Surprise, AZ 85374

13575 W. Indian School Rd.

Litchfield Park, AZ 85340


Tel:  623-535-9777

Fax: 623-236-3179

OPENING HOURS

8:00 AM - 4:30 PM

Tuesday

8:00 AM - 3:00 PM

Wednesday

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