36.3657401
-95.9127626

Collinsville, OK

My Clinic

Patients' Rights

  • To be treated with courtesy, respect and dignity.
  • To participate in decisions regarding their care.
  • To refuse care or services.
  • To privacy.
  • To refuse the release of personal health information (except when permitted by law).
  • To get an electronic or paper copy of medical records.
  • To ask for medical records to be updated.
  • To request confidential communications.
  • To ask what is used or shared to be limited.
  • To get a list of those with whom we’ve shared information.
  • To a sign or language interpreter.
  • To choose someone to act for you.
  • To receive accurate and easily understood information about your health plan, healthcare professional and healthcare facility.
  • To get a copy of the Notice of Patient Privacy Practices.
  • To file a complaint if you feel your rights are violated.
    • If you feel we have violated your rights, contact us.
    • You can file a complaint with the U.S. Department of Health and Human visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
    • We will not retaliate against you for filing a complaint.

If you have any questions about the information presented on this page, please contact us today.

Patients' Responsibilities

  • To honestly disclose information that may assist in establishing a diagnosis and an
    appropriate plan of care.
  • To support an environment where the safety and property of the organization’s
    personnel and customers are respected.
  • To inquire if any portion of care-giving or follow-up are not entirely comprehended.
  • To notify the staff or medical provider if there are any limitations (cultural, religious
    or other) that may limit the care provided or pose barriers to providing care.
  • To financial commitments towards care.

If you have any questions about the information presented on this page, please contact us today.

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