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I n recognition of our responsibility in rendering patient care, these rights and responsibilities are affirmed in the policies and procedures of
TRINITY PLAZA SURGERY CENTER
Every Patient Has the Right
To be treated with courtesy and respect, with appreciation of his or her individual dignity and with protection of his or her need for privacy
To receive impartial access to medical treatment or accommodations, regardless of race, age, national origin or sponsor, religion, disability, sexual orientation, marital status, or source of payment
To be free from mental, physical, sexual, and verbal abuse, neglect, harassment, and exploitation
To have his/her cultural, psychosocial, spiritual, and values, beliefs, and preferences respected.
To an environment that is safe and secure for self and property
To confidentiality of information gathered during treatment
To have your personal privacy respected
To prompt and reasonable response to questions and requests
To know who is providing and is responsible for his or her care, as well as their credentials
To change primary or specialty physician if other qualified physicians are available
To know what patient support services are available, including whether an interpreter is available if he or she does not speak English
To be given by the health care provider information concerning diagnosis, planned course of treatment, alternatives, risks, and prognosis
To refuse treatment, except as otherwise provided by law
To be free from behavioral restraints and of any form used as a means of convenience or retaliation
To be given, upon request and prior to treatment, a reasonable estimate of charges and necessary counseling on the availability of known financial resources for his or her care.
To receive a copy of a reasonably clear and understandable itemized bill and, upon request, to have charges explained
To know, upon request and in advance of treatment, whether the health care provider or health care practice accepts the Advance Directives
To receive impartial access to medical treatment or accommodations, regardless of race, national origin, religion, physical handicap, or source of payment
To receive treatment for any emergency medical condition that will deteriorate from failure to provide treatment
To know if medical treatment is for purposes of experimental/research and to give his or her consent or refusal to participate in such experimental research
To express grievances regarding any violation of his or her rights, through the grievance procedure of the health care provider that served him or her
To participate in all aspects of their health care decisions, unless contraindicated by concerns for their health
To appropriate assessment and management of pain
To reasonable continuity of care and to know in advance the time and location of appointments as well as the identity of the person providing the care
To file a grievance. To file a grievance, you may do so by calling the Administrative Director at (209) 323-3496.
To file a complaint with the state Department of Public Health regardless of if a complaint has been filed with the center.
To contact The Joint Commission’s office of Quality Monitoring, if you feel your concerns about patient care or safety have not been adequately addressed by Trinity Plaza Surgery Center. Call (800)994-6610, or email:
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Every 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
For reporting unexpected changes in his or her condition to the health care provider
For reporting to the healthcare provider whether he or she comprehends a contemplated course of action and what is expected of him or her
For following the treatment plan recommended by the health care provider
For keeping appointments and for notifying the Facility when he or she is unable to do so for any reason
For his or her actions if he or she refuses treatment or does not follow the health care provider's instructions
For assuring that the financial obligations of his or her health care are fulfilled as promptly as possible
For following Facility rules and regulations affecting patient care and conduct
For consideration and respect of the Facility staff and property
For asking what to expect regarding pain and pain management
Filing Complaints
If you have a complaint or a safety concern about an office based surgery practice, contact
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