Patient Bill of Rights

  1. Be fully informed in advance about service/care to be provided and any modifications to the service/care plan
  2. Participate in the development and periodic revision of the plan of service/care.
  3. Informed consent and refusal of service/care or treatment after the consequences of refusing service/care or treatment are fully presented
  4. Be informed both orally and in writing, in advance of the charges, including payment for service/care expected from third parties and any charges for which the client/patient will be responsible
  5. Have one’s property and person treated with respect, consideration, and recognition of client/patient dignity and individuality
  6. Voice grievances/complaints regarding treatment or care, lack of respect of property or recommend changes in policy, staff or service/care without restraint, interference, coercion, discrimination or reprisal
  7. Have grievances/complaints regarding treatment or care that is (or fails to be) furnished, or lack of respect of property investigated.
  8. Choose a health care provider
  9. Confidentiality and privacy of all information contained in the client/patient record and of Protected Health Information
  10. Be advised on agency’s policies and procedures regarding the disclosure of clinical records.
  11. Receive appropriate service/care without discrimination in accordance with physician orders
  12. Be informed of any financial benefits when referred to an organization
  13. Be fully informed of one’s responsibilities
  14. Be informed of provider service/care limitations
  15. Be able to identify visiting staff members through proper identification
  16. Be free from mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of client/patient property


  1. To provide complete and accurate information concerning your present health, medication, allergies, etc., when appropriate to your care/service.
  2. To inform a staff member, as appropriate, of your health history, including past hospitalizations, illnesses, injuries, etc.
  3. To involve you, as needed and as able, in developing, carrying out, and modifying your home care service plan, such as properly cleaning and storing your equipment and supplies.
  4. To review the organization’s safety materials and actively participate in maintaining a safe environment in your home.
  5. To request additional assistance or information on any phase of your health care plan you do not fully understand.
  6. To notify your attending physician when you feel ill, or encounter any unusual physical or mental stress or sensations.
  7. To notify the organization prior to changing your place of residence or your telephone number.
  8. To notify the organization when encountering any problem with equipment or service.
  9. To notify the organization if you are to be hospitalized or if your physician modifies or ceases your home care prescription.
  10. To make a conscious effort to properly care for equipment supplied and to comply with all other aspects of the home health care plan developed for you.
  11. To notify the organization of denial and/or restriction of the organization’s privacy policy.


If you have any concerns about the services you are receiving from our organization we would like to hear from you. You may contact our customer service representative at 1-800-779-3374. Within 5 days of receiving a complaint you will be contacted by telephone, email, fax or letter that we have received your complaint. Within 14 calendar days we will provide a written notification of the results of your inquiry and the resolution.

We have also provided Hotline numbers if you may have a concern regarding fraud and abuse or any treatment or services provided by our organization.

Medicare Hot-line     (800) 447-8477