Patient Rights & Responsibilities

Patients at Citizens Medical Center have the right to:

  • A reasonable response to his/her request for care and treatment within the hospital’s capacity, the stated mission, applicable law, and regulation.
  • Impartial access to care and treatment that is medically indicated regardless of race, creed, sex, national origin, disability or source of payment.
  • Considerate, respectful care: the care of the patient includes consideration of the psychosocial, spiritual, and cultural variables influencing the perceptions of illness; and the care of the dying patient optimizes the comfort and dignity of the patient through treating primary and secondary symptoms that respond to treatment as desired by the patient or surrogate decision maker, effectively managing pain, and acknowledging the psychosocial and spiritual concerns of the patient and the family regarding dying and its expression of grief by the patient and family.
  • Personal privacy and the preservation of personal dignity in a safe, secure setting, free from all forms of abuse or harassment.
  • Confidential information, including the right to access the information contained in the patients’ medical record within a reasonable time frame, and within the limits of the law.
  • Be informed of his/her health status, be able to request or refuse treatment, and remain informed about care outcomes, both anticipated and unanticipated.  The patient shall provide written consent for the provision of medical/surgical care except in emergencies.
  • Be informed by the responsible licensed independent practitioner or his or her designee about those unanticipated outcomes of care, treatment, and services related to adverse events, when the patient is not already aware of the occurrence, or further discussion is needed.
  • Participate in the development and implementation of his/her inpatient treatment/care plan, outpatient treatment/care plan, discharge plan, and pain management plan. The patient also has the right to allow his or her family members or representative to make informed decisions regarding his/her own care or life-sustaining/resuscitative efforts, and decisions pertaining to the end of life.
  • To promptly notify a family member or representative of his/her own choice and his/her own physician of his/her admission.
  • To receive information on advance directives at admission and have access to protective services as requested.
  • To formulate advance directives, which may include delegation of the right to make decisions about the patient’s care to a representative, as well as designation of a support person. The hospital staff and practitioners shall provide care in the hospital according to these directives. The provision of care shall not be conditioned on the existence of an advance directive.
  • Receive care that optimizes comfort and dignity by effectively managing pain and other symptoms.
  • Be informed of any human experimentation or other research/educational projects involving the patient’s care and treatment.
  • To partipicate in ethical issues that may arise involving his/her care and treatment.
  • To be informed whom to contact to file a grievance and to submit a written or verbal grievance about the care, services, or staff.
  • Have their guardians, next of kin, or a legally authorized responsible person to exercise to the extent permitted by law, the rights delineated on behalf of the patient if the patient:  has been adjudicated incompetent in accordance with the law or is found by the patient’s physician to be medically incapable of understanding the proposed treatment or procedure, or is unable of communicating his or her wishes, or is a minor.
  • Obtain information and knowledge of the professional status of persons providing care and treatment while in the hospital.
  • The need for effective communication by utilizing an interpreter (translator) in the event of language/speech barriers and other appropriate means of communication.
  • Request care and treatment from another health care practitioner or consultation from another provider.
  • Request an itemized statement identifying charges for the services rendered.
  • Freedom from restraints that are not medically necessary. Restraints include physical restraints or drugs. For violent/self-destructive management, freedom from retraints and seclusion except in emergency situations, if needed, to ensure the patient’s safety and less restrictive means have been determined to be ineffective.
  • Be informed of visitation rights, including any clinical restrictions or limitations on such rights: the right to receive the visitors he/she designates, including but not limited to a spouse, a domestic partner (including a same sex domestic partner), another family member or a friend; patient or support person may withdraw or deny such consent at any time; and visitation privileges shall not be restricted or denied based on race, color, national origin, religion, sex, gender identity, sexual orientation, or disability.

Patients treated at Citizens Medical Center have the following responsibilities to:

  • Provide complete and accurate information about:  their complaints and onset of symptoms; past illnesses and hospitalizations; personal medications and other information relating to their health and medical care.
  • Communicate whether they clearly comprehend the proposed course of action and the patient’s expectation to make decisions regarding their medical plan.
  • Follow the care and treatment plan recommended and ordered by the health care practitioner or experience the actions or outcomes for refusing services.
  • Assure payment for financial obligations incurred as a result of services rendered.
  • Follow hospital policies and procedures, rules and regulations regarding patient care.
  • Respect the rights and property of other patients, physicians, hospital personnel, and visitors.

Notice of Privacy Practices Acknowledgment Receipt Form