YOU HAVE THE RIGHT TO:
1. Exercise these rights without regard to sex, economic status, educational background, race, color, religion, ancestry, national origin, sexual orientation or marital status or the source of payment for care.
2. Considerate, respectful, equitable and unbiased care. You have the right to respect for your personal values and beliefs. You have the right to request advice and information relating to your spiritual and emotional health.
3. Know the name of the licensed health care practitioner acting within the scope of his or her licensure who has primary responsibility for coordinating your care, and the names and professional relationships of physicians and non-physicians who will see you.
4. Receive information about your health status, diagnosis, prognosis course of treatment, prospects for recovery and outcomes of care (including unanticipated outcomes) in terms you can understand. You have the right to effective communication and to participate in the development and implementation of your plan of care. You have the right to participate in ethical questions that arise in the course of your care, including issues of conflict resolution, withholding resuscitative services, and foregoing or withdrawing life-sustaining treatment.
5. Make decisions regarding medical care, and receive as much information about any proposed treatment or procedure as you may need in order to give informed consent or to refuse this course of treatment. Except in emergencies, this information shall include a description of the procedure or treatment, the medically significant risks involved, alternate courses of treatment or non-treatment and the risks involved in each, and to be informed of the person who will carry out the procedure or treatment.
6. Request or refuse treatment, to the extent permitted by law. However, you do not have the right to demand inappropriate or medically unnecessary treatment or services. You have the right to leave the facility even against the advice of physicians, to the extent permitted by law. You are entitled to exercise your right to inquire about or obtain a second opinion.
7. Have personal privacy respected. Case discussion, consultation, examination and treatment are confidential and should be conducted discreetly. You have the right to be told the reason for the presence of any individual. You have the right to have visitors leave prior to an examination and when treatment issues are being discussed.
8. Confidential treatment of all communications and records pertaining to your care at Alliance Desert Physicians, L.P. and Affiliates. You will receive a separate A Notice of Privacy Practices that explains your privacy rights in detail and how we may use and disclose your protected health information.
9. Appropriate assessment and management of your pain, information about pain, pain relief measures and to participate in pain management decisions. You may request or reject the use of any or all modalities to relieve pain, including opiate medication, if you suffer from severe chronic intractable pain. The doctor may refuse to prescribe the opiate medication, but if so, must inform you that there are physicians who specialize in the treatment of severe chronic intractable pain with methods that include the use of opiates.
10. Reasonable responses to any reasonable requests made for service.
11. Reasonable continuity of care and to know in advance the time and location of appointments as well as the identity of the persons providing the care.
12. Examine and receive an explanation of the facilities bill regardless of the source of payment.
13. Formulate Advance Directives. This includes designating a decision maker if you become incapable of understanding a proposed treatment or become unable to communicate your wishes regarding care. The staff and practitioners who provide care in the facility shall comply with these directives. All patients= rights apply to the person who has legal responsibility to make decisions regarding medical care on your behalf.
14. File a grievance. If you wish to file a grievance with this facility, you may do so by writing or calling your health plan.
15. Have access to an interpreter if you do not speak or understand English. If you have a hearing impairment you should have access to a TDD or an interpreter.
16. Be advised if Alliance Desert Physicians, L.P. or its affiliates personal physician proposes to engage in clinical trials, you have the right to refuse to participate in research projects.
17. Receive care in a safe setting, free from verbal or physical abuse or harassment. You have the right to access protective services including notifying government agencies of neglect or abuse.
18 Be free from restraints and seclusion of any form used as a means of coercion, discipline, convenience or retaliation by staff.
19. Be informed by the physician, or a delegate of the physician, of continuing health care requirements upon leaving the facility. Upon your request, a friend or family member may be provided this information also.
YOU ARE RESPONSIBLE TO:
20. Provide, to the extent possible, an accurate and complete description of your present condition and past medical history, including past illnesses, medications and hospitalizations information that the managed care organization.
21. Follow the plans and instructions for care that you have agreed on with your practitioners.
22. Make recommendations regarding Alliance Desert Physicians L.P. and Affiliates rights and responsibilities.
23. Understand your health problems and to participate in developing mutually agreed upon treatment goals to the degree possible.
24. Follow Alliance Desert Physicians, L.P. and Affiliates policies which affect patient care and conduct and abide by all local, state, and federal laws.
25. Keep all appointments and cooperate with your physician and others caring for you.
26. Meet your financial commitment to Alliance Desert Physicians L. P and Affiliates.