Patient Bill of Right and Responsibilities

We welcome you as a patient to Samuel U. Rodgers Health Center. It is policy of this center to inform and notify patients of their right and responsibilities regarding our health care services.

With your cooperation, we want to help you enjoy the best health possible.

Patient Rights: (Our Responsibility to You)

1. You have the right to refuse treatment.
2. You have the right to be fully informed of all rules and regulations governing center     activities.
3. You have the right to be informed of all available services at the center.
4. You will be informed of the procedure for following in an emergency case when the center is closed.
5. You have a right to an explanation about charges for services including third party payment.
6. You are entitled to information concerning your medical condition and plan for treatment.
7. You may refuse to participate in any experimental research.
8. You are encouraged to submit complaints and recommend policy changes to center staff and governing body.
9. Your records are confidential. You do have the right to refuse release of your medical information except as required by third part payment contracts.
10. At all times you are to be treated with respect, consideration and dignity, including privacy in treatment and personal needs.

Patient Responsibilities: (Your Responsibilities as a Patient)

1. You are responsible for keeping your appointments or notifying the center in advance when unable to do so.
2. You are obligated to give truthful information.
3. You are expected to abide by all rules and regulation with regard to patient conduct to responsibilities.
4. You are responsible for taking medications and treatments as prescribed by your doctor.
5. You are responsible for paying fees and co-pays according to insurance and sliding fee scales.