PATIENT’S RIGHTS

·       The patient has the right to receive information from health providers and to discuss the benefits, risks, and costs of appropriate treatment alternatives.  Patients should receive guidance from their health providers as to the optimal course of action.  Patients are also entitled to obtain copies or summaries of their medical records, to have their questions answered, to be advised of potential conflicts of interest that their health providers might have, and to receive independent professional opinions.

·       The patient has the right to make decisions regarding the health care that is recommended by his or her provider.  Accordingly, patients may accept or refuse any recommended medical treatment.

·       The patient has the right to courtesy, respect, dignity, responsiveness, and timely attention to his or her needs regardless of race, religion, ethnic or national origin, gender, age, sexual orientation, height, weight, or disability.  The patient has the right to confidentiality.  The health care provider should not reveal confidential communications or information without the consent of the patient, unless provided for by law or by the need to protect the welfare of the individual or the public interest.

·       The patient has the right to continuity of healthcare.  The health provider has an obligation to cooperate in the coordination of medically indicated care with other health providers treating the patient.  The health provider may discontinue care provided they give the patient reasonable assistance, direction and sufficient opportunity to make alternative arrangements.

PATIENT’S RESPONSIBILITIES

·       Good communication is essential to successful health provider-patient relationship.  To the extent possible, patients have the responsibility to be truthful and to express their concerns clearly to the health care provider.

·       Patients have a responsibility to provide a complete medical history; to the extent possible, including information about past illnesses, medications, hospitalizations, family history of illness and other matters relating to their present health.

·       Patients have a responsibility to request information or clarification about their health status or treatment when they do not fully understand what has been described.

·       Once patients and health providers agree upon the goals of therapy, patients have a responsibility to cooperate with the treatment plan.  Compliance with health provider instructions is often essential to public and individual safety.  Patients also have a responsibility to disclose whether previously agreed upon treatments are being followed and to indicate when they would like to reconsider the treatment plan.

·       Patients should also have an active interest in the effects of their conduct on others and refrain from behavior that unreasonably places the health of others at risk.

FINANCIAL RESPONSIBILITIES

·       Great Salt Plain Health Center is committed to providing the best treatment for our patients

·       Payment for services (insurance co-payment, the sliding fee plan, or full payment) is, required at the time of your visit.  Cash, personal checks, money or order cashier’s check are accepted.  Visa, Master Card, American Express, Discover, and debit cards are also acceptable means of payment.

·       If you have health insurance, including Medicare and Medicaid, we will file for reimbursement for the services we provided.  Your insurance policy is a contract between you and your insurance company.  You are responsible for knowing and understanding what services are and are not covered under your policy.  If your insurance carrier denies any or all of the payment for any reason, you will be responsible for the denied amount of the visit.  You are required to notify staff immediately when insurance coverage changes.

·       If you are uninsured, you may qualify for a discount.  The Great Salt Plains Health Center offers a “sliding fee” scale that calculates the fee discount based on the number of individuals in your household and your household income (household income includes both spouses if applicable).  If you would like to apply for this discount, you will be required to bring in three (3) recent pay stubs, a W-2 form, or a recent income tax form.  Based on these findings you will be placed under the appropriate payment zone under the sliding fee scale. Please remember that this information has to be updated at least once a year.  It will also need to be updated if you get another job or lose a job.

·       Great Salt Plains Health Center is not a free clinic and we must collect money from all of our patients in order to continue to provide services to our community.

·       Should you fail to comply with the above stated responsibilities, Great Salt Plains Health Center reserves the right to reschedule your visit, refer you to another practice, or dismiss you from our practice.