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Rights and Responsibilities
Patient Rights |
Patient Responsibilities |
Questions or Concerns |
Sliding Fee Schedule
This facility and medical
staff have adopted the following list of patient rights. This list
shall include but not be limited to the patientís rights to:
these rights without regard to sex or cultural, economic,
educational, or religious background, or the source of payment for
considerate and respectful care.
information from his/her physician about his/her illness, his/her
course of treatment, and his/her prospects for recovery in terms
that he/she can understand.
as much information about any proposed treatment or procedure as
he/she 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 in this treatment, the
alternate course of treatment or non-treatment and the risks
involved in each, and the name of the person who will carry out
the procedure or treatment.
actively in decisions regarding his/her medical care to the extent
permitted by law; this includes the right to refuse treatment.
treatment to the extent of the law and to be informed of the
possible consequences of the refusal.
consideration of privacy concerning his/her medical care program.
Case discussion, consultation, examination, and treatment are
confidential and should be conducted discreetly. The patient has
the right to be advised as to the reason for the presence of any
treatment of all communications and records pertaining to his/her
care. His/her written permission shall be obtained before his/her
medical records can be made available to anyone not directly
concerned with his/her care.
responses to any reasonable requests he/she may make for service.
continuity of care and to know in advance the time and location of
appointments, as well as the physician providing care.
advised if his/her physician proposes to engage in or perform
human experimentations affecting his/her care or treatment. The
patient has the right to refuse to participate in such research
advance directives and have them followed.
informed by his/her physician or a delegate of his/her physician
of the continuing health care requirements following discharge
from the facility.
and receive an explanation of his/her bill regardless of the
source of payment.
all patient rights apply to the person who may have legal
responsibility to make decisions regarding medical care on behalf
of the patient.
The care a patient receives
depends partially on the patient himself/herself. Therefore, in
addition to these rights, a patient has certain responsibilities as
well. These responsibilities will be presented to the patient in the
spirit of mutual trust and respect.
patient must provide accurate and complete information concerning
his/her present complaints, past medical history, current
medications, and other matters about his/her health.
patient is responsible for making it known whether he/she clearly
comprehends the course of his/her medical treatment and what is
expected of him/her.
patient is responsible for following the treatment plan
established by his/her physician, including the instruction of
nurses and other health professionals as they carry out the
patient is responsible for keeping appointments and for notifying
the facility or physician when he/she is unable to do so.
patient is responsible for his/her actions should he/she refuse
treatment or not follow his/her physicianís orders.
patient is responsible for assuring that the financial obligations
of his/her care are fulfilled as promptly as possible.
patient is responsible for following facility policies and
patient is responsible for being considerate of the rights of
other patients and facility personnel.
patient is responsible for being respectful of his/her personal
property and that of other persons in the facility.
You and your family should
feel that you can always voice your concerns. The first step is to
share your concerns with your doctor, nurse, or other caregiver. If
you have concerns that are not resolved, please contact the office
manager at 330-649-9400.
It is the policy
of Kidney and Hypertension Consultants, Inc to provide essential
services regardless of the patient's ability to pay.
Discounts are offered based on family size and annual income.
Please click on the hyperlink below to open the Sliding Fee
Schedule application. Print the application and complete the
required information. Return the completed form to the front
desk to determine if you or a member(s) of your family are
eligible for a discount.
Sliding Fee Schedule Application
Please return also
the following information to verify income: