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Patient Rights & Responsibilities
The Patient has the right to:
1. Receive services without regard to age, race, color, sexual orientation, religion, marital status, sex, national origin, or sponsor disability, or source of payment.
2. Be treated with consideration, respect and dignity including privacy in treatment and free of unnecessary restraint. Be informed of the services available at Hudson Valley Ambulatory Surgery.
3. Be informed of the provisions for emergency coverage during off hours.
4. Know the names, positions, and functions of any HVAS, LLC staff involved in your care in the facility. Be informed of your right to change physician if at at all possible.
5. Be informed of the charges for services, eligibility for third-party reimbursements, and, when applicable, the availability of free or reduced-cost care.
6. Receive an itemized copy of his/her account statement upon request.
7. Obtain from his/her Health Care Practitioner, or Health Care Practitioner's delegate, complete and current information concerning his/her diagnosis, treatment and prognosis in terms the patient can be reasonably expected to understand.
8. Receive from his/her Physician information necessary to give informed consent prior to the start of any non-emergency procedure or treatment or both the reasonably foreseeable risks involved, and alternatives for care or treatment, if any, as a reasonable medical practitioner under similar circumstances would disclose in a manner permitting the patient to make a knowledgeable decision.
9. Receive all information you need to give informed consent for an order not to Resuscitate. You also have the right to designate an individual to give this consent for you if you are too ill to do so. If you would like additional information, please ask for a copy of the pamphlet "Do Not Resuscitate Orders - A Guide for Patients and Families."
10. Refuse treatment to the extent permitted by law and to be fully informed of the medical consequences of his/her actions.
11. Refuse to participate in experimental research.
12. Participate in all decisions about your treatment and discharge from HVAS, LLC. HVAS, LLC must provide you with written discharge instructions
13. Voice grievances and recommend changes in policies and services to the Hudson Valley Ambulatory Surgery staff, the operator, and the New York State Department of Health without fear of reprisal.
14. Voice grievances and recommend changes in policies and services to the Hudson Valley Ambulatory Surgery staff, the operator, and the New York State Department of Health without fear of reprisal.
15. Privacy and confidentially of all information and records pertaining to the patient's treatment
16. Approve or refuse the release for disclosure of the contents of his/her medical record to any Health Care Practitioner and/or Health Care Facility except as required by law or third-party payment contract.
17. Access his/her medical record pursuant to the provisions of the law
18. Execute an Advance Directive.
19. Receive pain management services.
20. Be fully informed before and during transfer to another facility or organization.
21. An itemized bill upon request.
The Patient has the following responsibilities:
1. To provide Hudson Valley Ambulatory Surgery with accurate medical information.
2. To ask any and all questions regarding treatment provided by Hudson Valley Ambulatory Surgery.
3. To consent by free will to all procedures or instructions.
4. To tell staff if procedures or instructions are not understood.
5. To follow after-care instructions as recommended by Hudson Valley Ambulatory Surgery.
6. To contact his/her physician with post-testing and post-surgery questions or concerns.
7. To provide all necessary information regarding third-party payment sources.
8. To observe all policies, rules, and regulations of Hudson Valley Ambulatory Surgery.
9. To keep appointments as scheduled, or advise Hudson Valley Ambulatory Surgery if the appointment cannot be kept.
10. To be considerate of other patients and Hudson Valley Ambulatory Surgery personnel and respect the property of others at Hudson Valley Ambulatory Surgery.
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