Your rights and responsibilities

We believe every patient of Port City Medical should know their rights. As our patient you have:

• The right to be treated with dignity, respect and consideration.
• The right to receive appropriate care without discrimination based on race, color, religion, national origin, sex, age, disability or payment source.
• The right to privacy and confidentiality of your personal and medical information (HIPAA).
• The right to receive information about your condition, treatment options and prognosis.
• The right to participate in decisions regarding your plan of care and treatment.
• The right to refuse treatment and be informed of the consequences of such refusal.
• The right to know the charges for services and payment requirements before service begins.
• The right to voice complaints about care without fear of retaliation, and to have them properly investigated.
• The right to request a copy of your Port City Medical records.
• The right to appropriate and professional care consistent with your condition.
• The right to emergency preparedness information and support.
• The right to formulate an Advance Directive and receive information about it where the law provides.
• The right to identify visiting personnel, and to care free from mistreatment, neglect or abuse.

Your responsibilities

• Provide accurate and complete information about your health and insurance coverage, and tell us when it changes.
• Participate in your plan of care and follow the instructions provided.
• Treat Port City Medical staff with dignity and respect.
• Provide timely payment for services as agreed.
• Notify us of changes in your condition, insurance or contact information, and of any concerns about the care or services provided.
• Properly use and maintain equipment as instructed, and return rented equipment in good condition when service ends.
• Tell your treating provider that you receive services from us.

If you are a minor, or need help understanding these rights, you and your parent, guardian or responsible person are both informed. If you cannot read, or need this in another language, we will help — interpreter services are free. See Complaints and concerns for whom to contact.

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