PatiEnt Responsibilities

To provide complete and accurate information
concerning your present health, medication, allergies, etc. Inform us of
your health history, including past hospitalizations, illnesses, injuries,
etc. Involve yourself, as needed & as able, in developing/carrying out, and
modifying your home care service plan. Review the company’s safety sheets
and actively participate in maintaining a safe environment in your place of
residence. Request additional assistance or information on any phase of
your health care plan you do not fully understand. Notify the company when
you will not be home at the time of a scheduled home care visit & prior to
changing your place of residence, telephone number & Insurance information.
Notify the company when encountering any problem with equipment or
services. Notify the company if you are to be hospitalized or if your
physician modifies or ceases your home care prescription. To properly care
for all rental equipment. Responsible for all charges incurred for services
rendered by THE COMPANY, whether or not these services are covered by
insurance, including all costs incurred to collect delinquent charges, as
well as collection agency and attorney fees of 33 1/3%. Provide 24 hour
notice for appointment cancellations. If 24 hour notice is not received
there will be a $25.00 cancellation fee. Company maintains 24-hour
availability by telephone.

Patient Rights

To be fully informed in advance about your care / service to be provided, including the disciplines that furnish care, the frequency of visits, as well as any modifications to your plan of care.

To be informed in advance, both orally and in writing, of the care being provided; of the charges, including payment for care / service expected from third parties; and any charges for which you will be responsible.

To receive information about the scope of services ABC Health Care will provide and limitations on those services.

 To participate in the development and periodic revision of your plan of care.

 To refuse care or treatment after the consequences of refusing care or treatment are fully explained.

 To be informed of your rights under state law to formulate an Advance Directive, if applicable.

 To have one’s property and person treated with respect, consideration, and in recognition of your dignity and individuality.

 To identify visiting personnel through proper identification.

 To be free from mistreatment, neglect, verbal abuse, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of your property.

 To be free to voice grievances and complaints regarding your treatment or care, insufficient respect of property and to recommend changes in policy, personnel, or care / service without restraint, interference, coercion, discrimination, or reprisal.

 To have grievances and complaints regarding treatment or care that is (or fails to be) furnished, or insufficient respect of property investigated.

 To have confidentiality and privacy of all Protected Health Information contained in your client / patient record.

 To be advised on ABC Health Care’s policies and procedures regarding the disclosure of your clinical records.

 To have the right to choose a health care provider, including choosing an attending physician, if applicable.

 To receive appropriate care without discrimination in accordance with physician orders.

 To be informed of any financial benefits when referred to an organization.

 To be fully informed of one’s responsibilities.