Patient Rights and Forms

No person shall be refused admission or treatment on the basis of his or her race, ethnicity, culture, language, color, age, sex, sexual orientation, gender identity or expression, physical or mental disability, socioeconomic status, national origin, marital status, veteran status, religion, or any other classification protected by applicable law.

As our patient, you have the RIGHT to:

• Be fully informed in advance about care/service to be provided, including the disciplines that furnish care and the frequency of visits, as well as any modifications to the plan of care
• Be informed, in advance of care/service being provided and their financial responsibility
• Receive information about the scope of services that the organization will provide and specific
  limitations on those services
• Participate in the development and periodic revision of the plan of care
• Refuse care or treatment after the consequences of refusing care or treatment are fully presented
• Be informed of client/patient rights under state law to formulate an Advanced Directive, if applicable
• Have one's property and person treated with respect, consideration, and recognition of client/patient dignity and individuality
• Be able to identify visiting personnel members through proper identification
• Be free from mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of client/patient property
• Voice grievances/complaints regarding treatment or care or lack of respect of property, or recommend changes in policy, personnel, or care/service without restraint, interference, coercion, discrimination, or reprisal
• Have grievances/complaints regarding treatment or care that is (or fails to be) furnished, or lack of respect of property investigated
• Confidentiality and privacy of all information contained in the client/patient record and of Protected Health Information (PHI)
• Be advised on the agency's policies and procedures regarding the disclosure of clinical records
• Choose a healthcare provider, including an attending physician*, if applicable
• Receive appropriate care without discrimination in accordance with physician’s* orders, if applicable
• Be informed of any financial benefits when referred to an organization

You have the RESPONSIBILITY to:

• Notify your physician* and the pharmacy of any potential side effects and/or complications
• Submit forms that are necessary to receive services
• Provide accurate clinical, medical, and contact information and to notify the pharmacy of any changes
• Notify the pharmacy of any concerns about the care or services provided
• Share your concerns and disagreements with health care recommendations and accept responsibility for health care decisions
• Provide UChicago Medicine AdventHealth with complete and correct financial information and comply with agreed-upon payment plans

*A physician or other licensed practitioner with prescribing authority

You have the right to:

• Receive quality health care, whatever your race, ethnicity, culture, language, color, age, sex, sexual orientation, gender identity or expression, physical or mental disability, socioeconomic status, national origin, marital status, veteran status, religion, or any other group protected by any laws that apply, and to be treated with dignity and courtesy.
• Be given foreign language or sign language interpretation or other reasonable accommodation of special needs or disabilities.
• Have access to protective and advocacy services and get pastoral care or spiritual services.
• Ask for a second opinion or to talk with another doctor and to have a transfer to another health care facility.

You have the right to:

• To be given information about diagnosis and treatment plans, in language that is easy to understand. This includes risks and benefits, with an explanation of any other options, so you can make an informed decision.
• Know the names and professional responsibilities of your healthcare team and the role they take in your care.
• Be given information about the outcomes of care, treatment and services, including any unanticipated outcomes.
• Be told about ongoing health care needed such as return visits and following hospital treatment.
• Be given an explanation for and other options for a proposed transfer to another facility.
• Understand that you may get two different bills — one for UChicago Medicine AdventHealth and another for doctor services.
• Be given a reasonable explanation of your bills, including a detailed list of each charge.
• Be given written notice of your rights when admitted or as soon as possible after being admitted.

You have the right to:

• Take part in the development and giving of your plan of care and treatment.
• Give your permission for medical treatment or to refuse medical treatment to the extent allowed by law. The patient does not have the right to services deemed medically unnecessary or inappropriate.
• Create and have advance directives (with the right to change or remove your advance directive at any time) and have hospital staff and practitioners who provide care at UChicago Medicine AdventHealth comply with those directives. This includes end-of-life wishes. When asked, UChicago Medicine AdventHealth will provide you with information about advance directives, including statutory living wills or powers of attorney.
• Have a family member or representative and your doctor told as soon as is possible when you are admitted to the hospital.
• Take part in volunteer research projects with the possible risks and side effects or possible outcomes fully explained before taking part. This includes those that informed consent will be needed. You can refuse to take part in research projects without the refusal impacting your care.

You have the right to:

• Be given information about ways to relieve pain and access to the proper pain assessment and pain management by dedicated pain control specialists.
• Be free from restraints of any kind that are not medically needed or not used to prevent harm to self or others, or are used as a means of coercion, discipline, convenience or retaliation by staff.
• Be given care in a safe setting, free from all forms of abuse or harassment.

You have the right to:

• Have your personal privacy respected and private medical records kept secure. See UChicago Medicine AdventHealth Notice of Privacy Practices.
• Ask for restrictions or to limit the medical information UChicago Medicine AdventHealth uses or shares about you and to get private messages from UChicago Medicine AdventHealth.
• To see and copy your medical record in a format you request, if that format is available, within a reasonable amount of time after leaving the hospital. To ask to change or add to your health information and to be given information about the sharing of your medical records in accordance with laws and regulations that apply.
• To give your permission or to refuse permission to be filmed or recorded and that this will not affect the health care you are given.
• Have visitors, mail and phone calls as long as they do not interfere with treatment.