Patient Bill of Rights

As a patient in our ambulatory facility and as is consistent with the law, you have the right to:

1. Understand and use these rights. If for any reason you do not understand or need help, the facility must provide assistance, including an interpreter.
2. Receive services without discrimination in regard to age, race, color, sexual orientation, gender identity, gender expression, religion, source of payment or disability.
3. Receive quality care and treatment given with respect, consideration and dignity in a clean and safe environment free of unnecessary restraints.
4. Receive care free of all forms of harassment.
5. Appropriate privacy for you and your health information.
6. Access to your medical record.
7. Participate in all decisions concerning your care, including diagnosis, treatment and prognosis.
8. Refuse treatment and be told what effect this may have on your health.
9. Know the names, positions, functions and credentials of all staff involved in your care.
10. Receive all the information you need to give informed consent including risks, benefits and alternatives.
11. Change providers if other qualified providers are available.
12. Refuse to participate in experimental research.
13. Receive information on this facility’s policies on advance directives and privacy practices.
14. Be informed if your physician does not carry malpractice insurance.
15. Be informed of your responsibilities, conduct, and facility’s rules affecting your treatment.
16. Knowledge of services provided at this facility.
17. Discharge instructions and information about after-hours care.
18. Be informed about charges for services and receive an itemized copy of your bill upon request.
19. Express complaints about your care and services provided by the facility and have the facility investigate such complaints. The facility is responsible for providing you or your designee with a written response within 30 days of the findings of the investigation.
20. Voice a grievance to the NYS Department of Health without fear of reprisal.

Patient Responsibilities

As a patient in this facility, you are responsible for:

1. Providing accurate and complete information related to your health, reporting perceived risks about your care, and reporting any unexpected changes in your health.
2. Asking questions when you do not understand what a staff member has told you about your care.
3. Providing a responsible adult to transport you from the facility and remain with you for 24 hours if required by your provider.
4. Following the treatment plan established by your physicians, including the instructions given to you by healthcare professionals carrying out the physician’s orders.
5. Being respectful and considerate of other patients and the facility’s personnel.
6. Providing your health insurance information and assuring financial obligation is fulfilled.
7. Understanding the responsibility and consequences of not following the practitioner’s instructions.

New York State Department of Health’s Metropolitan Area Regional Office (MARO): 800-804-5447.
Office for Civil Rights
Grievances or safety concerns about our outpatient facility should be referred to our Medical Director or Facility Director at 212-433-0737