You Have The Right:

• To be treated with courtesy and respect, with appreciation of your individual dignity and with protection of your need for privacy.
• To a prompt and reasonable response to questions and requests.
• To know who is providing medical services and who is responsible for your care.
• To know what patient support services are available, including whether an interpreter is available if you do not speak English.
• To know what rules and regulations apply to your conduct.
• To be given by your health care provider information concerning diagnosis, planned course of treatment, alternatives, risks and prognosis.
• To refuse treatment, except as otherwise provided by law.
• To be given, upon request, full information and necessary counseling on the availability of known financial resources for your care.
• If eligible for Medicare, to know upon requests in advance of treatment, whether the health care provider or health care facility accepts the Medicare assignment rate.
• To receive, upon request, prior to treatment, a reasonable estimate of charges for medical care.
• To receive a copy of a reasonably clear and understandable bill and, upon request, to have charges explained.
• To impartial access to medical treatment or accommodations, regardless of race, national origin, religion, physical handicap, or source of payment.
• To treatment for any emergency medical condition that will deteriorate from failure to provide treatment.
• To know if medical treatment is for purposes of experimental research and to give your consent or refusal to participate in such experimental research.
• To express grievances regarding any violation of your rights, as stated in Florida law, through the grievance procedure of the health care provider or health care facility which served you and to the appropriate state licensing agency (Agency for Healthcare Administration at 850-487-2717).
• To change primary or specialty physician if other qualified physicians are available.
• To appropriate assessment and management of pain throughout the continuum of care.
• To expect reasonable safety insofar as the facility practices and environment are concerned.
• To a complete explanation of the need for transfer and alternatives to such a transfer.
• To complain to administration regarding the quality of care received.
• To the involvement of a parent or guardian in the assessment, treatment and continuity of care for children and adolescents.
• To receive written information about advance directives and healthcare decision-making options in Florida.
• To be free from restraints of any form that are not medically necessary.

You Are Responsible

• For providing to the health care provider, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to your health.
• For reporting unexpected changes in your condition to the health care provider.
• For reporting to the health care provider whether you comprehend the contemplated course of action and what is expected of you.
• For following the treatment plan recommended by the health care provider.
• For keeping appointments and, when unable to do so for any reason, for notifying the health care provider or health care facility.
• For your actions if you refuse treatment or do not follow the health care provider's instructions.
• For assuring that the financial obligations of your health care are fulfilled as promptly as possible.
• For following health care and facility rules and regulations affecting patient care and conduct.
• For being considerate of the rights of other patients and facility personnel.