As a Patient, you have the right to:
• Take part in your healthcare and treatment
• Know the names of the people caring for you
• Be treated with respect and dignity in a safe and private settng
• Be informed about your illness and treatment, including options for your care
• Get another opinion about your illness or treatment
• Privacy of your health records
• Talk with the Clinic Manager about any questions or problems with your care
• Know about services available through Family Circle of Care
• Respect for your cultural, personal values, beliefs, and preferences
• Know about legal reporting requirements
• Ask for special arrangements if you have a disability
• Refuse treatment, care, and services as allowed by law
• Know the cost of your care and ways you may pay for your care
• Refuse to be included in any research program without limiting medical care or treatment
• Receive services in your preferred language
• Have your after-hours call answered and responded to in a helpful, professional manner
• For after-hours, please call our main number, 903-535-9041
As a Patient, you have the responsibility to:
• Arrive on time for your appointments
• Tell your medical provider about your illness or problems
• Ask questions about your illness or care
• Show respect for health center staff and other patients
• Cancel or reschedule appointments so that another person may have that time slot
• Pay all amounts owed on time
• Use medications or medical devices for yourself only
• Inform your medical provider if you have become worse or you have an unexpected reaction to a medication
• Give written permission to release your other health records to us when necessary
As your Healthcare Center, we will treat you with dignity and respect and provide excellent care.
We have the right to:
• Enforce center policies and procedures
• Request that you exhibit appropriate conduct, and notify you if your conduct fails to comply with our need to maintain a safe, respectful environment for all
• Dismiss you from care, with appropriate notice, if you violate our policies and continued service is no longer possible
If you have any questions, please ask to speak with the Clinic Manager
By signing below, you acknowledge that you have received and understand this policy.
