You Have The Right:
To be treated with courtesy and respect, with appreciation of your individual dignity and with protection of your need for privacy.
To a prompt and reasonable response to questions and request.
To know who is providing medical services and who is responsible for your care.
To know what patient support services are available, including if an interpreter is available if you do not speak English.
To know what rules and regulations apply to your conduct.
To be given by your health care provider information concerning diagnosis, planned course of treatment, alternatives, risks and prognosis.
To refuse treatment, except as otherwise provided by law.
To be given, upon request, full information and necessary counseling on the availability of known financial resources for your care.
If eligible for Medicare, to know upon request in advance of treatment, whether the health care provider or
health care facility accepts the Medicare assignment rate.
To receive, upon request, prior to treatment, a reasonable estimate of charges for medical care.
To receive a copy of a reasonably clear and understandable, itemized bill and, upon request, to have charges explained.
To impartial access to medical treatment or accommodations, regardless of race, national origin, religion, physical handicap,
or source of payment.
To treatment for any emergency medical condition that will deteriorate from failure to provide treatment.
To know if medical treatment is for purposes of experimental research and to give your consent or refusal to participate
in such experimental research.
To express grievances regarding any violation of your rights, as stated in Florida law, through the grievances procedure of
the health care provider & health care facility, which served you & the appropriate state-licensing agency.
To change primary or specialty physician if other qualified physicians are available.
The above rights and conditions apply to the patient, guardians, or agents of the patient.
You Are Responsible
For providing to the health care provider, to the best of your knowledge, accurate and complete information about
present complaints, past illnesses, hospitalizations, medications, and other matters relating to your health.
For reporting unexpected changes in your condition to the health care provider.
For reporting to the Health care provider whether you comprehend contemplated course of action and what is expected of you.
For following the treatment plan recommended by the health care provider.
For keeping appointments and, when unable to do so for any reason, for notifying the health care provider or health care facility.
For your actions if you refuse treatment, or do not follow the health care provider's instructions
For assuring that the financial obligations of your health care are fulfilled as promptly as possible.
For following health care and facility rules and regulations affecting patient care and conduct.
The above responsibilities apply to the patient, guardians, or agents of the patient
We encourage our patients and their families to know and understand their rights and responsibilities as stated in state law and North Florida Endoscopy Center's policy.
A patient representative is available to answer any questions about your rights and responsibilities or to help resolve any problems or complaints you may have.
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