Your Rights & Responsibilities As A Patient
The web site for the Office of the Medicare Beneficiary Ombudsman is www.medicare.gov/Ombudsman.
Your Bill of Rights
Florida law requires that your health care provider or health care facility recognize your rights while you are receiving medical care and that you respect the health care provider’s or health care facility’s right to expect certain behavior on the part of patients. A summary of your rights and responsibilities follows:
- A patient has the right to be treated with courtesy and respect, with appreciation of his/her individual dignity and with protection of his or her need for privacy.
- A patient has the right to a prompt and reasonable response to questions and requests.
- A patient has the right to know who is providing medical services and who is responsible for his/her care.
- A patient has the right to know what patient support services are available, including whether an interpreter is available if he/she does not speak English.
- A patient has the right to know what rules and regulations apply to his/her conduct.
- A patient has the right to be given by his/her health care provider information concerning diagnosis, planned course of treatment, alternatives, risks, and prognosis.
- A patient has the right to refuse treatment except as otherwise provided by law.
- A patient has the right to receive, upon request, prior to treatment, a reasonable estimate of charges for medical care.
- A patient has the right to receive a copy of a reasonably clear and understandable itemized bill, and upon request, to have charges explained and receive
adequate information needed for insurance filing.
- A patient has the right to impartial access to medical treatment or accommodations, regardless of race, national origin, religion, physical handicap, or source of payment.
- A patient has the right to know if medical treatment is for purposes of experimental research and to
give his/her consent or refusal to participate in such experimental research.
- A patient has the right to express grievances regarding any violation of his/her rights, as stated in Florida law, through the grievance procedure of the health plan, the health care provider or health care facility which served him/her and to the appropriate state licensing agency.
- A patient has the right to Change providers if other qualified providers are available
- A patient is responsible for providing to his/ her health care provider, to the best of his/her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to his/her health.
- A patient is responsible for reporting unexpected changes in his/her condition to his/her health care provider.
- A patient is responsible for reporting to his/her health care provider whether he/she comprehends a contemplated course of action and what is expected of him/her.
- A patient is responsible for following the treatment plan recommended by his/her health care provider.
- A patient is responsible for keeping appointments, and when he/she is unable to do so for any reason, to notify the health care provider or health care facility.
- A patient is responsible for his/her actions if he/she refuses treatment or does not follow the health care provider’s instructions.
- A patient is responsible for assuring that the financial obligations of his/her health care are fulfilled as promptly as possible.
- A patient is responsible for following health care and facility rules and regulations affecting patient care and conduct.
- A patient is responsible for all personal items.
- A patient is responsible for providing the office staff with current address, phone and insurance information.
- A patient must behave respectfully toward all healh care professionals and staff, as well as other patients and visitors.
Please be advised the following own an interest in Southeastern Surgery Center:
- James E. Reneham, M.D.
- Robert S. Bradford, M.D.
- H. Logan Brooks, M.D.
- David E. Burday, M.D.
- Joseph L. Camps, M.D.
- Charles K. Newell, M.D.
- Judson D. Rackley, M.D.
- W. Paul Sawyer, M.D.
- Scott B. Sellinger, M.D.
- Robert L. Steinmetz, M.D.
- Jean-Paul Tran, M.D.
LIVING WILLS – ADVANCE DIRECTIVES:
I understand that Southeastern Surgery Center does not accept a living will or any other form of advance directives. A patient at Southeastern Surgery Center who requires emergency care will be stabilized and then transported to the hospital.
If you have a complaint about care, you can contact the Florida Agency for Health Care Administration Consumer Complaint Call Center. Their toll free number is 888-419-3456. Their address is Consumer Complaints, Agency for Health Care Administration, 2727 Mahan Drive, MS #49, Tallahassee, FL 32308.