FAIRVIEW FAMILY CLINIC
PATIENT’S BILL OF RIGHTS
Access to Respectful Care
- You have the right to receive necessary care regardless of your race, sex, national origin, marital status, sexual orientation, beliefs, values, language, functional, age, disability or source of payment.
- You have the right to receive considerate and respectful care in a smoke-free environment.
- You have the right to privacy.
- You may speak alone with anyone you wish while in the hospital unless your health care provider determines it is not in your best medical interest.
- You have the right to receive information about rules involving your care or conduct.
- You have the right to proper assessment and management of pain.
- You have the right to be free from restraints of any form that are not medically necessary.
- You have the right to be free from mental or physical abuse or harassment.
Involvement in Care Decisions
- You have the right to information about your condition, treatment and prognosis, including unanticipated outcomes of care.
- You have the right to know who is taking care of you and his/her professional titles.
- You are entitled to know who is responsible for your direct care and their professional titles.
- You have the right to education about safe use of medications, medical equipment, potential food-drug interactions and counseling on nutrition and modified diets.
- You have the right to be involved in the planning, completion and review of your plan of care, including your plan of care for after you leave the hospital.
- You may refuse treatment to the extent permitted by law. It is our responsibility to discuss with you the possible results of your refusal.
- You have the right to participate in health care decisions including Advanced Directive.
- No experimental procedure can be a part of your care without your approval.
- Your right to make decisions about health care does not mean that you can demand treatment and services that are medically inappropriate or unnecessary.
Access to Your Medical Record
- You have the right to see your medical record at a time suitable for both you and the staff. Once discharged, you may request and obtain a copy of your record for a reasonable fee.
- You have the right to request the disclosures we made of medical information about you.
Confidentiality of Care
- Your medical records will be treated as confidential by the hospital staff. No one outside the hospital, except your referring physician, may be given a copy of your record without your written permission. Exceptions are as required by law, transfer of care or third party payer/insurance contract.
- You have the right to have a family member and your own physician notified of your admission to the hospital.
Concerns About Care, Billing
- You have the right to have health care information provided in a manner and form that you can understand.
- You have the right to details about all items in your bill. You will receive notice of non-coverage. Upon request information concerning financial help will be given to you.
- You have the right to express any concerns you may have regarding your care. We encourage you to communicate concerns, grievances or compliments to the individual/department involved, or to the Administration Office, (580) 227-3721.
- You have the right to file a formal written or verbal grievance with the Hospital Administration if we cannot promptly resolve your care issues. The grievance form can also be filled out online at www.fairviewregionalmedicalcenter.com
- You also have the right to lodge a grievance with the Oklahoma State Department of Health at Oklahoma Foundation for Medical Quality, Inc., The Paragon Building Suite 400, 5801 Broadway Extension, Oklahoma City, O 73118-7472.
- An online submission form is available at www.health.state.ok.us/comment.html or the hospital will provide you with a print version at your request. They may be reached by telephone at (405) 271-4085 or (800) 695-2157. Fax # is (405) 271-1130.