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Patient Information

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As a patient it is your right to have certain information provided to you prior to your surgery. Please read through the following information carefully.
1.The individual dignity of a patient must be respected at all times and upon all occasions.

2.E very patient who is provided health care services retains certain rights to privacy, which must be respected without regard to the patient’s economic status or source of payment for his or her care. The patient’s rights to privacy must be respected t the extent consistent with providing adequate medical care to the patient and with the efficient administration of the health care facility or provider’s office. However, this subparagraph does not preclude necessary and discreet discussion of a patient’s case or examination by appropriate medical personnel.

3.A patient has the right to a prompt and reasonable response to a question or request. A health care facility shall respond in a reasonable manner to the request of a patient’s health care provider for medical services to the patient. The health care facility shall also respond in a reasonable manner to the patient’s health care provider or are not inconsistent with the patient’s treatment.
4.A patient in a health care facility has the right to retain and use personal clothing or possessions as space permits, unless for him or her to do so would infringe upon the right of another patient or is medically or programmatically contraindicated for documented medical, safety, or programmatic reasons.

5.A patient has the right to know the name, function, and qualifications of each health care provider who is providing medical services to the patient. A patient may request such information from his or her responsible provider or the health care facility in which he or she is receiving medical services.

6.A patient in a health care facility has the right to know what patient support services are available in the facility.

7.A patient has the right to be given by his or her health care provider information concerning diagnosis, planned course of treatment, alternatives, risks, and prognosis, unless it is medically inadvisable or impossible to give this information to the patient, in which case the information must be given to the patient’s guardian or a person designated as the patient’s representative. A patient has the right to refuse this information.

8.A patient has the right to refuse any treatment based on information required by this paragraph, except as otherwise provided by law. The responsible provider shall document any such refusal.

9.A patient in a health care facility has the right to know what the facility rules and regulations apply to patient conduct.

10.A patient has the right to express grievances to a health care provider, a health care facility, or the appropriate state licensing agency regarding alleged violations of patient’s rights. A patient has the right to know the health care provider’s or health care facility’s procedures for expressing a grievance.

11.A patient in a health care facility who does not speak English has the right to be provided an interpreter when receiving medical services if the facility has a person readily available who can interpret on behalf of the patient.

12.A patient has the right to be given, upon request, by the responsible provider, his or her designee, or a representative of the health care facility full information and necessary counseling on the availability of known financial resources for the patient’s health care.

13.A health care provider or a health care facility shall, upon request, disclose to each patient who is eligible for Medicare, in advance of treatment, whether the healthcare provider or the health care facility in which the patient is receiving medical services accepts assignment under Medicare reimbursement as payment in full for medical services and treatment rendered in the health care provider’s office or health care facility.

14.A health care provider or a health care facility shall, upon request, furnish a patient, prior to provision of medical services, a reasonable estimate of charges for such services. Such reasonable estimate shall not preclude the health care provider or health care facility from exceeding the estimate or making additional charges based on changes in the patient’s condition or treatment needs.

15.A patient has the right to receive a copy of an itemized bill upon request. A patient has a right to be given an explanation of charges upon request.

16.A patient has the right to impartial access to medical treatment or accommodations, regardless of race, national origin, religion, handicap, or source of payment.

17.A patient has the right to treatment for any emergency medical condition that will deteriorate from failure to provide such treatment.

18.A patient has the right to access any mode of treatment that is, in his or her own judgment and the judgment of his or her health care practitioner, in the best interests of the patient, including complementary or alternative health care treatments, in accordance with the provisions of s.456.41.

19.In addition to the provisions of s.766.103, a patient has the right to know if medical treatment is for purposes of experimental research and to consent prior to participation in such experimental research. For any patient, regardless of ability to pay or source of payment for his or her care, participation must be a voluntary matter; and a patient has the right to refuse to participate. The patient’s consent or refusal must be documented in the patient’s care record.

20.In receiving health care, patients have the right to know what their rights and responsibilities.

To provide the health care provider or health care facility shall respect the health care provider’s and healthcare facility’s right to expect behavior on the part of patients which, considering the nature of their illness, is reasonable and responsible. Each patient shall observe the responsibilities described in the following summary.

1.A patient is responsible for providing to the health care provider, to the best of his or her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to his or her health.

2.A patient is responsible for reporting unexpected changes in his or her condition to the health care provider.

3.A patient is responsible for reporting to the health care provider whether he or she comprehends a contemplated course of action and what is expected of him or her.

4.A patient is responsible for following the treatment plan recommended by the health care provider.

5.A patient is responsible for keeping appointments and, when he or she is unable to do so for any reason, for notifying the health care provider or health care facility.

6.A patient is responsible for his or her actions if he or she refuses treatment or does not follow the health care provider’s instructions.

7.A patient is responsible for assuring that the financial obligations of his or her health care are fulfilled as promptly as possible.

8.A patient is responsible for following health care facility rules and regulations affecting patient care and conduct.

9.A patient is responsible for following health care facility rules and regulations.

Every competent adult has the right to make decisions Concerning his or her own health, including the right to choose or refuse medical treatment.

When a person becomes unable to make decisions due To a physical or mental change, such as being in a Coma or developing dementia (like alzheimer’s disease), They are considered incapa citated. To make sure that An incapa citated person’s decisions about health Care will still be respected, the florida legislature enacted legislation pertaining to health care advance directives (chapter 765, florida statutes). The law Recognizes the right of a competent adult to make An advance directive instructing his or her physician To provide, withhold, or withdraw life-prolonging Procedures; to designate another individual to make Treatment decisions if the person becomes unable to Make his or her own decisions; and/or to indicate the Desire to make an anatomical donation after death.

By law hospitals, nursing homes, home health agencies, hospices, and health maintenance organizations (HMOs) are required to provide their patients with written information, such as this pamphlet, concerning health care advance directives. The state rules that require this include 58A-2.0232, 59A-3.254, 59A-4.106, 59A-8.0245, and 59A-12.013, Florida Administrative Code.

For More Information on Advance Directives and Health Care Surrogate Designation go to: www.FloridaHealthFinder.gov

A copy of the Florida Advance Directive and Health Care Surrogate Designation is available upon request.

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