Your Rights:

• Access to available treatment and accommodations regardless of age, sex, marital status, race, creed, color, national origin, source of payment, or the presence of any sensory, mental or physical handicap 
• Respect and privacy during your care 
• Confidentiality relative to your care as directed by you or authorized by law 
• Personal safety 
• Identification and status of caregivers 
• Information concerning diagnosis, treatment, and prognosis in terms you can understand 
• Access to an interpreter if you do not speak English 
• Access to your medical record and to make corrections if necessary
• Refusing treatment to the extent permitted by law 
• Detailed explanation of bill 
• Information about hospital rules and regulations 
• Access to people outside the hospital via visitors and written/verbal communications 
• Timely notice prior to termination of eligibility by third-party payer for cost of care 
• To be aware of experimental therapy and the right to refuse 
• The right to participate in the development and implementation of his or her plan of care 
• To formulate advance directives and to have hospital staff and practitioners comply with directives 
• The right to have a family member or representative of choice and his/her own personal physician notified promptly of his/her admission to the hospital 
• To be free from all forms of abuse or harassment 
• To be free from restraints of any form that aren’t medically necessary

Your Responsibilities:

• Provide accurate and complete health information to the hospital 
• Comply with instructions/be responsible for your actions if you fail to do so
• Fulfill financial obligations
• Follow hospital rules and regulations
• Respect the rights of others
• Ask questions if you do not understand any aspect of your care
• If you have any questions or concerns regarding your patient rights and responsibilities, please contact your physician, the charge nurse, the Director of Nursing or the Administrator.