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Patient Rights and Responsibilities
OUR RESPONSIBILITIES
- Considerate, respectful, and compassionate care regardless of
your age, race, gender, religion, national origin, sexual orientation,
or physical or mental disability.
- Attention when you request help, with the understanding
that other patients may have more urgent needs.
- To be addressed by your proper name.
- Care provided in a safe setting.
- Care provided by concerned staff committed to pain prevention
and management.
- Information about your diagnosis, treatment, and expected result
to be provided by Dr. Shayesteh.
- Attention when you request help, with the understanding
that other patients may have more urgent needs.
- Information on the planned course of treatment, including
an explanation about procedures.
- Information on the risks, benefits, and alternatives of
your treatment.
- Information about pain and pain relief measures.
- That if you are asked to participate in a research study related
to your illness, you can decline to participate in or withdraw
from that study at any time. Your refusal to participate will
not affect your hospital care.
- Within the confines of the law, all communications and records
pertaining to your care will be treated as confidential. You have
the right to review or obtain a copy of your medical record according
to hospital policy, and to have the information explained as needed
by a physician. You have the right to add additional information
to your medical record by contacting Medical Record Services.
- To be informed of care options when hospital care is not indicated.
We will help to coordinate options, as necessary.
- To question the accuracy of your hospital and physician bills.
You have the right to request a summarized list of charges and
to obtain information about those charges. You can expect to be
informed about any payments made to your bills.
YOUR RESPONSIBILITIES
As a patient, you and /or your representative are expected to:
- Provide complete and accurate information about your health,
including present condition, past illnesses, hospitalizations,
medications, natural products and vitamins, and any other matters
that pertain to your health.
- Provide complete and accurate information including your full
name, address, home telephone number, date of birth, Social Security
number, insurance carrier, and employer when it is necessary.
- Provide Dr. Shayesteh or the hospital with a copy of your advance
directive if you have one and want it to apply during your admission.
- Ask questions when you do not understand what Dr. Shayesteh
or other member of your health care team tells you about your
diagnosis or treatment. You should inform your doctor if you anticipate
problems in following prescribed treatment. Inform your doctor
if you are considering alternative therapies.
- Ask Dr. Shayesteh what to expect regarding pain and pain management,
and work with him to develop a pain management plan. You should
tell him about any worries you have about taking pain medication.
- Keep appointments, be on time for your appointments, and call
as soon as possible if you cannot keep your appointments.
- Provide complete and accurate information for insurance claims
and work with the hospital and physician billing offices to make
payment arrangements.
- Know your health insurance coverage and related policies
concerning required pre-approvals, co-pays, covered services,
admissions, and the hospital and doctors covered by your insurance
provider.
- Pay your hospital and physician bills in a timely manner.
- Ask questions of your insurance company or hospital and
physician billing departments if there is a financial issue
that you do not understand.
Additional information: Patients have the right
to bring a friend or relative to the exam. The patient advocate
may participate in providing moral support. Our office may provide
you with a patient advocate if you do not have someone to bring
with you.
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