Patient Bill of Rights

You have a right…

To a prompt and adequate response to reasonable requests and needs for treatment or service within the Codman Square Health Center’s (CSHC) capacity
To prompt life-saving treatment in an emergency without discrimination based on economic status or source of payment
To considerate and respectful care
To accept or refuse to be examined, observed or treated by any member of CSHC staff without jeopardizing access to medical care or attention
To provide or receive assistance to execute a Health Care Proxy pursuant to law
To informed consent to the extent provided by law
Upon request, to obtain from the CSHC the name and specialty, if any, of the physician or other person responsible for his or her care or the coordination of such care
To privacy during medical treatment or other rendering of care within the CSHC’s capacity
To confidentiality of records and communications, as prescribed by law
Upon request, to inspect his or her medical record and to receive a copy thereof, as prescribed by law
Upon request, to receive a copy of any itemized CSHC bill or other statement of charges submitted to a third party for the patient’s care
To appropriate assessment and management of pain

You have a responsibility…

To keep appointments, or telephone the CSHC when you cannot keep a scheduled appointment
To provide, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, advance directives and other matters relevant to health or care
To inform the CSHC promptly if you do not understand any matter relating to your care and treatment or instructions with which you cannot comply
To be considerate of other patients and to see that your visitors are considerate, particularly with reference to noise
To observe the CSHC’s smoke-free policy
To abide by the CSHC’s rules and regulations
To provide the CSHC with necessary information regarding financial coverage of your care
To be responsible for your actions if you refuse treatment or do not follow your practitioner’s instructions
To inform CSHC promptly if you do not understand any matter relating to your care and treatment or if there are instructions with which you can not comply

Adapted from the Patient Rights and Responsibilities recognized by the Boston Medical Center, a CSHC affiliate.