PATIENT RIGHTS AND RESPONSIBILITIES

Your Rights:
• You have the right to be treated with respect and kindness when you visit a doctor’s office or talk to any employee of Salud y Vida, P.A. regardless of your gender, age, race, religion, sexual orientation or disability.
• You have the right to be treated fairly by your physician, physician assistant and all other employees of Salud y Vida, P.A.
• You have the right to be accompanied by a friend or family member to all office visits.  You may also request your friend or family member to exit the room at any time.
• You have the right to be told by your doctor about your diagnosis and possible prognosis, the benefits and risks of treatment, and the expected outcome of treatment, including unexpected outcomes. You have the right to give written informed consent before any non-emergency procedure begins.
• You have the right to participate in decisions about your care, your treatment, and services provided, including the right to refuse treatment to the extent permitted by law.
• You have the right to have your medical information kept private, per HIPAA laws and regulations.
• You have the right to communication that you can understand. Salud y Vida, P.A. will provide sign language and foreign language interpreters as needed at no cost.  Just let us know you are coming in advance so we can have them readily available.
• You have the right to make an advance directive and appoint someone to make healthcare decisions for you if you are unable. If you do not have an advance directive, we can provide you with information and help you complete one.
• You have the right to receive detailed information about any charges incurred in Salud y Vida, P.A.
• You have the right to request a copy of your medical records via phone (915) 591-2704 or electronic portal at FollowMyHealth.com
• You have the right to voice any concerns regarding your care to your physician or to our complaint department by calling (915) 591-2704.
• You have the right to change your preferred provider or clinic at any time.

Your Responsibilities:
• You are expected to provide accurate and up to date demographic information including phone number(s), address, name, date of birth, email, and insurance information.
• You are expected to treat all Salud y Vida staff with courtesy and respect and abide by all of the clinics rules and policies.
• You are expected to treat all Salud y Vida staff with courtesy and respect and abide by all of the clinics rules and policies.
• You are expected to provide complete and accurate information about your health including current and past illnesses, recent hospitalizations, immunizations, and medications.
• You are responsible for asking your provider any questions o concerns regarding your health.
• You are expected to inform your doctor of all medications you are taking, including prescription, non-prescription, herbal supplements, controlled medications and those purchased in Mexico.
• You are expected to provide us a copy of your advance directive or medical power of attorney if you have one available.
• You are expected to sign and abide by a pain management contract for all controlled medications.
• You are expected to keep all of your scheduled appointments and arrive on time. If you will be unable to make your appointment, you should call and cancel at least 24 hours in advance.
• You are expected to inform us on any change in insurance status and to pay all of your bills in a timely fashion.
• You are expected to take all medications as prescribed and promptly inform your provider of any side effect or barrier to taking your medications.
• You are responsible for complying with any routine physical examination required by your insurance or other entity.
• You are required to provide us the names of any specialists you are currently seeing and signing a Release of Information so we may request records.