Patient Rights & Responsibilities

Your Rights as a Patient

You have the right to: - Receive respectful care regardless of race, color, religion, sex, national origin, disability, sexual orientation, or source of payment - Be informed about your diagnosis, treatment options, and expected outcomes - Participate in decisions about your care and treatment - Refuse any treatment to the extent permitted by law - Privacy and confidentiality of your medical information - Access your medical records and request amendments - Receive an itemized bill and explanation of charges - Know the qualifications of healthcare providers treating you - Be treated in a safe and clean environment - Voice complaints without fear of retaliation

Your Responsibilities as a Patient

As a patient, you are responsible for: - Providing accurate and complete medical history information - Following the treatment plan agreed upon with your provider - Keeping scheduled appointments or providing timely notice of cancellation - Treating staff and other patients with respect - Paying for services in a timely manner - Asking questions if you do not understand your treatment - Following post-treatment instructions for optimal results

Filing a Complaint

If you have concerns about the care you received or believe your rights have been violated, we encourage you to: 1. Speak directly with your provider or our office manager 2. Submit a written complaint to our Privacy Officer 3. Contact the Florida Department of Health if your concerns are not resolved

Florida Department of Health

Pursuant to Florida Statute 456.0575, you have the right to file a complaint with the Florida Department of Health if you believe a healthcare provider has violated professional standards of care.

Consumer Services

For general consumer complaints or questions about healthcare facilities in Florida, you may also contact: Agency for Health Care Administration 2727 Mahan Drive Tallahassee, Florida 32308 Phone: (888) 419-3456 Website: ahca.myflorida.com