Bill Of Rights

As An Individual receiving home health care services, let it be known and understood that you have the following rights:

1. To select those who provide your home care services.

2. To be provided with legitimate identification by any person or persons who enter your residence to provide home care services to you.

3. To receive the appropriate or prescribed service in a professional manner without discrimination relative to your age, sex, race, religion, ethnic origin, sexual orientation or physical or mental handicap.

4. To be dealt with and treated with friendliness, courtesy and respect by each and every individual representing the company who provides treatment or service to you, and free from neglect or abuse be it physical or mental.

5. To assist in the development and planning of your health care program that is designed to satisfy, as best as possible, your current needs.

6. To be provided with adequate information from which you can give your informed consent for the commencement of service, continuation of service, the transfer of service to another health care provider, or the termination of service.

7. To express concerns or grievances or recommend modifications to your home health care service without fear of discrimination of reprisal.

8. To request and receive complete and up-to-date information relative to your condition, treatment, alternative treatments, and risks of treatment.

9. To receive treatment and services, within the scope of your health care plan, promptly and professionally, while being fully informed as to company policies, procedures and changes.

10. To refuse treatment, within the boundaries set by law, and receive professional information relative to the ramifications or consequences that will or may result due to such refusal.

11. To request and receive data regarding treatments or services or costs thereof privately and with confidentiality

12. To request and receive the opportunity to examine or review your medical records.

13. To formulate and have honored by all health care personnel ad advice directive such as a living will or a durable power of attorney for health care.

14. To expect that all information received by this organization shall be kept confidential and shall not be released without written consent.

15. To be involved, as appropriate, in discussion and resolutions of conflicts and ethical issues related to your care.

16. To be informed of any experimental studies that are involved in your care, and be provided the right to refuse any such activity.

17. To be promptly informed if the prescribed care of service is not within the scope, mission, or philosophy of the organization and therefore be provided with transfer assistance to an appropriate care of service organization.

18. To have your privacy and your property respected at all times

Responsibilities of the patient/client

You and your home care company are partners in your health care plan. To insure the finest care possible, you must understand your role in your health care program. As a patient/client, you are responsible for the following:

1. To provide complete and accurate information concerning your present health, medication, allergies, etc.

2. To inform us of your health history, including past hospitalization, illness, injuries, etc.

3. To involve yourself, as needed and as able, in developing, carrying out, and modifying your home care service plan.

4. To review the company’s safety booklet(s) and actively participate in maintaining a safe environment in your place of residence.

5. To request additional assistance or information on any phase of your health care plan you do not fully understand.

6. To inform the company of when you will not be home at the time of a scheduled home care visit.

7. To inform the company when there is a change in address and/or telephone number.

8. To inform your attending physician when you feel ill, or encounter any unusual physical or mental stress or sensation.

9. To inform the company when you encounter any problem with equipment or service.

10. To inform the company if you are to be hospitalized or if your physician modifies or ceases your home care prescription.

11. To make a conscious effort to comply with all aspects of the home care plan.

To report abuse, neglect, or exploitation, please call toll free
1-800-96ABUSE (22873)
Medicare number 1-800-MEDICARE (63342273)
Agency for Healthcare Administration 1-888-419-3456