PATIENT RESPONSIBILITIES

Each patient receiving service in the ambulatory care facility shall have the following responsibilities:

  1. Because your health is important to us it is very important that you keep all of your appointments. If you cannot keep your scheduled appointment we ask that you notify us as soon as possible. Failure to do so will result in a no-show and two (2) consecutive no-show will result in a warning letter; on your third (3) no-show you will be sent a letter informing you of your status as a walk-in patient only.
  2. Please bring all insurance cards at every visit or payment will be required. Also, bring all of your medications with you to each visit. Bring your children's shot records.
  3. If you have a true emergency call 911. If you need to speak to a doctor on the weekend or after the office is closed please call 856-451-4700.
  4. Please call for prescription refills or routine problems when the office is open. Please note that referrals and prescription refills will be done within 48/72 hours following receipt of your call/request.
  5. It is your responsibility to provide accurate and complete information about past illnesses, hospitalizations, medications, advanced directives, allergies, and other matters of care.
  6. It is your responsibility to follow the plan of care recommended and the follow-up instructions recommended by your health care provider, and understand the consequences of non-compliance.

It is your responsibility to tell us when you do not understand a treatment course or care decision.



COMPLETE CARE HEALTH NETWORK PATIENT RIGHTS

Each patient receiving service in this ambulatory care facility shall have the following rights:

  1. To be informed of these rights, as evidenced by the patient's written acknowledgement, or by documentation by staff in the medical record, that the patient was offered a written copy of these rights and given a written or verbal explanation of these rights, in terms of any rules and regulations it has adopted governing patient conduct in the facility;
  2. To be informed of services available in the facility, of the names and professional status of the personnel providing and/or responsible for the patient's care, and of fees and related charges, including the payment, fee deposit, and refund policy of the facility and any changes for services not covered by sources of third-party payment or not covered by the facility's basic rate;
  3. To be informed if the facility has authorized other health care and educational institutions to participate in the patient's treatment. The patient also shall have the right to know the identity and function of these institutions, and to refuse to allow their participation in the patient's treatment;
  4. To receive from the patient's physician(s) or clinical practitioner(s), in terms that the patient understands, an explanation of his or her complete medical/health condition or diagnosis, recommended treatment, treatment options, including the option of no treatment, risk(s) of treatment, and expected result(s). If this information would be detrimental to the patient's health, or if the patient is not capable of understanding the information, the explanation shall be provided to the patient's next of kin or guardian. This release of information to the next of kin or guardian, along with the reason for not informing the patient directly, shall be documented in the patient's medical record;
  5. To participate in the planning of the patient's care and treatment, and to refuse medication and treatment. Such refusal shall be documented in the patient's medical record. CompleteCare Health Network will provide the patient the opportunity to obtain care from another clinician within or outside of CompleteCare Health Network;
  6. To be included in experimental research only when the patient gives informed, written consent to such participation, or when a guardian gives such consent for an incompetent patient in accordance with law, rule and regulation. The patient may refuse to participate ' in experimental research, including investigation of new drugs and medical devices;
  7. To voice grievances or recommend changes in policies and services to facility personnel, the governing authority, and/or outside representatives of the patient's choice either individually or as a group, and free from restraint, interference, coercion, discrimination, or reprisal;
  8. To be free from mental and physical abuse, free from exploitation, and free from use of restraints unless they are authorized by a physician for a limited period of time to protect the patient or others from injury. Drugs and other medications shall not be used for discipline of patients or for convenience of facility personnel;
  9. To confidential treatment of information about patient information in the patient's medical record shall not be released to anyone outside the facility without the patient's approval, unless another health care facility to which the patient was transferred requires information, or unless the release of information is required by and permitted by law, a third-party payment contact, or a peer review, or unless the information is needed by the New Jersey State Department of Health for statutorily authorized purposes. The facility may release data about the patient for studies containing aggregated statistics when the patients identity is masked;
  10. To be treated with courtesy, consideration, respect, and recognition of the patient's dignity, individuality, and right to privacy, including but not limited to auditory and visual privacy. The patient's privacy shall also be respected when facility personnel are discussing the patient;
  11. To not be required to perform work for the facility unless the work is part of the patient's treatment and is performed voluntary by the patient. Such work shall be in accordance with local, State, and Federal laws and rules;
  12. To exercise civil and religious liberties, including the right to independent personal decisions. No religious benefits or practices, or any attendance at religious services, shall be imposed upon the patient;
  13. To not be discriminated against because of age, race, religion, sex, nationality, or ability to pay, or deprived of any constitutional, civil, and/or legal rights solely because of receiving services from the facility;
  14. To give informed, written consent prior to the start of specified non-emergency procedures or treatments only after a physician has explained specific details about the recommended procedure or treatment, the risks involved, the possible duration of incapacitation and any reasonable medical alternatives for care and treatment;
  15. To receive a copy of the CCHN payment rates and an itemized bill and an explanation of the charges upon request. The patient has the right to appeal the charges.
  16. To have prompt access to the information contained in the patient's medical record, unless a physician prohibits such access as detrimental to the patient's health.
  17. To be assisted in obtaining public assistance and the private health care benefits to which the patient may be entitled. This includes being advised that they are indigent or lack the ability to pay and that they may be eligible for coverage, and receiving the information and other assistance needed to qualify and file for benefits or reimbursement,
  18. To be given a summary of the CCHN patient’s rights, as approved by the New Jersey State Department of Health, and any additional policies and procedures established by CompleteCare Health Network involving patient rights and responsibilities. A summary of these patient rights, as approved by the New Jersey Department of Health, shall be posted conspicuously in public areas at Complete Care Health Network.
  19. The patient is given the right to obtain care from other clinicians within the primary care medical home, to see a second opinion and to seek specialty care.
  20. Patient(s) or family member(s) who have a question or want to file a complaint about possible patient rights violations, please call the Administrative Staff at Complete Care Health Network, Bridgeton: 856-451-4700.
  21. Patients have the right to appropriate assessment and management of pain.
  22. Patients have the right to be involved in all aspects of care, and the patient care process respects patient's psychosocial, spiritual and cultural values.
  23. Patients have the right to receive assistance in formulating advance directives.