As a patient, you have the right to:
  • Take part in your health care and treatment
  • Know the names of the people caring for you
  • Be treated with respect and dignity in a safe and private setting
  • Be informed about your illness and treatment, including options for your care
  • Change medical providers at Family Health Source
  • Get another opinion about your illness or treatment
  • Privacy of your health records
  • Talk with the clinic about any questions or problems with your care
  • Know about services available through Family Health Source
  • Respect for your cultural, social, spiritual, and personal values and beliefs
  • Know about legal reporting requirements
  • Ask for special arrangements if you have a disability
  •  Ask for help with a living will or durable power of attorney for health care
  • 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
As a patient, you have the responsibility to:
  • Tell your medical provider about your illness or problems
  • Ask questions about your illness or care
  • Show respect to both caregivers and other patients
  • Cancel or reschedule appointments so that another person may have that time slot
  • Pay your bills on time
  • Use medications or medical devices for yourself only
  • Inform the medical provider if you become worse or you have an unexpected reaction to a medication
  • Give written permission to release your other health records to Family Health Source when necessary
  • Provide Family Health Source a copy of your living will or durable power of attorney for healthcare matters If you have any questions, please tell your medical provider
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