PATIENT RIGHTS AND RESPONSIBILITIES
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29. To be provided a copy of the declaration of Patient Rights and Responsibilities in ad - vance of care being furnished. 30.To be free from mistreatment, exploitation, neglect, or verbal, mental, sexual, and/or physical abuse, including injuries of un- known source and misappro- priation of patient property. Patient Responsibilities I have the responsibility: 1. To notify Four Seasons of changes in my address, health status, medications, medical provider, or admission to a health care facility. 2. To notify Four Seasons of my inability to keep a scheduled appointment. 3. To notify Four Seasons when I feel my rights are not being respected. 4. To sign a release when refus- ing medications, treatments, the recommended plan of care, or when refusing home care services. 5. To notify Four Seasons if I have any changes in my health insurance benefits, such as considering a Medicare Ad- vantage plan, HMO, etc. 6. To cooperate with my and Four Seasons in my treatment program. 7. To provide a safe home envi- ronment in which care can be given.
31. To expect that the agency shall investigate, within 72 hours, complaints made to the agency by a client or the client’s family. 32.To know that my family or guardian may exercise my patient rights if I have been judged incompetent by a court of law. 8. To treat the person or persons involved in my care with re- spect, consideration, and digni - ty regardless of age, ancestry, color, ethnicity, gender, gender identity or expression, language, military/veteran status, nation - al origin, race, religion, sexual orientation, or other aspect of difference. 9. To provide Four Seasons with a current copy of my Advance Directives, if any. 10. To express any concerns re- garding the course of treat- ment or my ability to comply with instructions. 11. To recognize and respect the rights of our other patients, visitors, and staff. Threats, violence, disrespectful com - munication, or harassment of other patients or of any Four Seasons staff member, for any reason will not be tolerated. This prohibition applies to the patient as well as their family members, representatives, and visitors.
Specific to Elizabeth House: 33.To receive visitors, including children, in keeping with the security, privacy, and rights of others in the facility, as well as the Elizabeth House visitation policy. 34.To keep and use personal clothing and possessions. 35. To privacy and security of my- self and my possessions. Please Note: In addition, requests for changes of provider or other medical staff based on that individual’s race, ethnicity, religion, sexual orienta- tion, gender, or gender identity will not be honored except in rare circumstances on a case-by-case basis. All changes of request for provider will be based on Four Seasons policy. Patients and their families, representatives and visi - tors are expected to respect the property of other persons and that of Four Seasons.
866.466.9734
FourSeasonsCare.org
Four Seasons
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