Patient Bill of Rights & Responsibilities

Patient Bill of Rights and Responsibilities

As a Patient, I have the RIGHT to:

Full information about my rights and responsibilities as a CCK patient.
Receive an explanation in a way I can understand of my diagnosis and medical condition, the benefits and risks to the treatment my doctor recommends, alternatives to such treatment, and an explanation of consequences if I choose not to undergo recommended treatment.
An explanation of all rules, regulations and services provided by CCK, including the days and hours of service and how to reach a physician after regular office hours.
Obtain a second opinion with another physician or practitioner at my request and expense.
Make health care decisions based on information necessary to make treatment decisions which reflect my wishes.
Participate in development of a plan of care including advance directives, and have my own copies.
Refuse treatment or participation in any protocol or aspect of care including investigational studies, and freely withdraw my previously given consent for further treatment.
Disclosure of any teaching programs, research or experimental programs in which the facility is participating.
Full financial explanation and payment schedules prior to beginning treatment.
Receive professional care that respects my values and beliefs, without discrimination, regardless of race, creed, color, religion, national origin, sexual preference, handicap, sex or age.
Be treated with courtesy, dignity and respect of my personal privacy by all employees of CCK.
Receive my care in a safe environment, and to be free of physical/mental abuse and/or neglect by all employees of CCK.
Complain or file a grievance with one of the CCK executive officers without fear of retaliation or discrimination, and to request a change of doctor for religious or other reasons.
Confidential treatment of my condition, medical record and financial information.
Receive a copy of my medical record in a reasonable amount of time.
Assessment and management of my pain.

As a Patient, I have the RESPONSIBILITY to:

disclose accurate and complete information related to physical condition, hospitalizations, medications, allergies, medical history and related items;
participate and cooperate in my plan of care, advance directives and living will;
assist in maintaining a safe, peaceful and efficient environment;
provide new/changed information related to my health insurance to the business office and be prepared to meet my agreed co-pay during my office visit.
contact CCK in advance when unable to keep a scheduled appointment;
request more detailed explanations for any aspect of service I do not understand;
inform my physicians and nurses of any changes in my condition or any new problems or concerns;
respect the rights of other patients, staff and physicians;
communicate any temporary or permanent change in my address or telephone number which might hinder contact by CCK staff;
relate my levels of discomfort and/or pain and perceived changes in my pain management to my physician; and
inform my physician or nurse when I am going to need a prescription refill before my supply is gone.