Patient Rights & Responsibilities

As a patient of Advanced Family Surgery Center, you can expect to be treated individually and with the respect you deserve. You have the right to…

• Receive treatment without discrimination as to sex, race, religion, national origin or disability.
• Receive respectful and considerate care in a clean and safe environment.
• Understand your procedure, the process and implications.
• Receive all the information you need to make informed decisions about your care.
• Receive complete information about your diagnosis, planned treatment and prognosis.
• Participate in all decisions regarding your care.
• Receive private, confidential care of all information regarding your health and the records of your care.
• Approve or refuse the release of your medical records except when required by law.
• Know fees for service and the billing process.
• Refuse treatment and receive information on how your refusal can affect your health.
• Assure safe use of equipment by trained personnel.
• Change primary or specialty physicians if you so choose.
• Receive assessment for pain by trained personnel and to have that pain treated efficiently.
• Complain without fear of retribution about the care and service you receive. To file a formal complaint, you may contact the Division of Health Care Facilities: their toll free number is 1-877-287-0010
• The Centers for Medicare & Medicaid Services website is: http://www.cms.hhs.gov.

In turn, as a patient of Advanced Family Surgery Center, it is your responsibility to…

• Be respectful of all the health care providers and staff, as well as the other patients
• Provide accurate past and present medical histories, complaints, illnesses, hospitalizations and surgeries.
• Provide list of current medications, including over the counter products, allergies, or sensitivities, and dietary supplements.
• Inform staff of your advance directives or power of attorney.
• Assure your financial obligations to the center for health care services rendered are paid efficiently.
• Accept responsibility for your outcome if you refuse a treatment or procedure.
• Accept or understand the instructions given by the physician or staff. Follow the treatment plan prescribed by your provider.
• Keep your appointments or notify the center if you anticipate that your treatment will be delayed.
• Ensure the security of your own valuables.
• Provide a responsible adult to transport you home from the facility and have someone remain with you for 24 hours if required by your provider.