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PATIENT RIGHTS AND RESPONSIBILITIES

AS YOUR HEALTHCARE PROVIDER, WE WANT YOU TO RECEIVE THE BEST POSSIBLE CARE AND BE A PARTNER IN YOUR ONGOING TREATMENT. LISTED BELOW ARE YOUR RIGHTS AND RESPONSIBILITIES THAT WILL HELP MAKE YOUR CARE AS SAFE AND EFFECTIVE AS POSSIBLE.

PATIENT RIGHTS

1. The right to receive written information about your rights, including what to do if your rights are violated in a language or form that you understand.
2. The right to receive care, services, education and training in a timely manner and if applicable, according to a suitable and up-to-date plan of care.
3. The right to be told in advance of receiving care about the services and the frequency by which they will be provided as well as other services that are available in the community. 
4. The right to take an active part in your plan of care and be told in advance of any change in the plan of care.
5. The right to refuse services or treatment after being fully informed of the results of such a decision.
6. The right to know, in advance, any limits to the services available from your healthcare provider.
7. The right to know, in advance of receiving care, what the charges are for services, no matter who will be paying the bill, whether the services are covered by a third-party payer, the charges for services that will not be covered by Medicare, and any out-of-pocket charges you may be responsible for. The right to be notified of any changes to this information as soon as possible but no later than within thirty (30) days after your healthcare provider has been notified of the change.
8. The right to choose freely among available providers and to change providers after services have begun.
9. The right to have personal, financial, and medical information kept private, to be advised of the provider’s policies and procedures regarding disclosure of such information and to refuse the release of records to any individual outside of your healthcare provider, except as provided by law or third-party payers.
10. The right to be allowed access to your medical records in accordance with applicable regulations.
11. The right to be served by people who are properly trained and competent to perform their duties and who are properly identified by name and title.
12. The right for you and your property to be treated with courtesy and respect and to receive appropriate care regardless of age, race, color, creed, sex, sexual orientation or national origins.
13. The right to be free from physical and verbal abuse.
14. The right to a reasonable, advance notice of changes in services, including, if possible, advance notice of the termination of a service by your provider.
15. The right to a coordinated transfer when there will be a change in the provider of services.
16. The right to voice complaints or grievances to your healthcare provider personally or through an authorized representative regarding your treatment or care and to suggest changes in service or staff without fear of reprisal or 
discrimination. Complaints made by the patient or designee must be investigated and your provider must document both the existence and the resolution of the complaint. The patient or designee must be informed of the outcome or resolution of the complaint or grievance. Complaints may be filed at compliance@pentechealth.com or by calling (888) 695.3339.
17. Have the right to request a listing of all individuals or other legal entities who have an ownership or control interest in your healthcare provider.
18. The right to choose whether or not to participate in research, investigational or experimental studies, or clinical trials.
19. If applicable, the right formulate and execute advance directives that address decision and decision makers regarding your care including the withholding or withdrawal of treatment.
20. 24-hour access to our support team to include both direct and indirect care.

PATIENT RESPONSIBILITIES

1. Provide accurate information regarding your medical history including allergies, medications, condition and response to treatment, including any changes.
2. Participate in your plan of care and carry out your therapy as instructed.
3. Notify your healthcare provider of any changes in your condition, including any changes in your medications, whenever they occur.
4. If applicable, provide a safe, respectful and clean home setting for your healthcare provider’s staff and for the storage and infusion of your medications.
5. Notify your healthcare provider of hospitalizations, travel plans, change in address, telephone number, living situation, natural disaster, family crisis, or health insurance benefits.
6. Notify your healthcare provider of any problems, concerns or complaints related to therapy, care or service provided.
* All rights and responsibilities are assigned to the person(s) legally authorized as a patient’s representative.

AS YOUR PROVIDER, WE STRIVE TO PROVIDE QUALITY SERVICES. IF YOU NEED ASSISTANCE OR  HAVE QUESTIONS OR A COMPLAINT, PLEASE CONTACT OUR COMPLIANCE OFFICER AT:

Pentec Health, Inc. 
4 Creek Parkway Boothwyn, PA 19061
compliance@pentechealth.com