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