Patient’s Bill of Rights

Santa Rosa Medical Center respects all patients’ right to impartial access to care, treatment, and service, regardless of race, national origin, religion, handicap, or source of payment. In order to best serve our patients and their families, the hospital upholds your right to: 

• Be treated with courtesy and respect, with appreciation of your individual dignity, and with protection of your need for privacy, confidentiality, and security

• An environment that preserves dignity and contributes to a positive self-image

• Be free from mental, physical, sexual, and verbal abuse, neglect, and exploitation

• Pain management

• Access protective and advocacy services

• Have your cultural, psychosocial, spiritual, and personal values, beliefs, and preferences respected

• Prompt and reasonable responses to questions and requests

• Know the name, function, and qualifications of each healthcare provider who is providing medical services to you

• Know what patient support services are available at the facility

• Receive information in a manner that you understand. The hospital will provide or assist in the provision of interpretation services as necessary

• Information concerning diagnosis, planned course of treatment, alternatives, risks and prognosis

• Participate in decisions about their care, treatment and services, including having the patient’s physician notified promptly of the admission to the hospital

• Appoint a surrogate decision maker, as allowed by law, to make decisions about their care, treatment and services in the event you become unable to make your own decisions

• Refuse any care, treatment, and services in accordance with law and regulation

• Be given , upon request, full information and necessary counseling on the availability of known financial resources for your care

• Know, upon request and prior to treatment, whether the healthcare provider or healthcare facility accepts the Medicare assignment rate, if you are a Medicare recipient

• Receive , upon request, prior to treatment, a reasonable estimate of charges for medical care

• Receive a copy of reasonably clear and understandable, itemized bill and , upon request, to have the charges explained

• Impartial access to medical treatment or accommodations, regardless of race, national origin, religion, handicap or source of payment

• Treatment for any emergency medical condition that will deteriorate from failure to provide treatment

• Pastoral and other spiritual care services

• Know if medical treatment is for purposes of experimental research and to give your consent or refusal to participate in such experimental research

• Express grievances and to recommend changes without being subject to coercion, discrimination, reprisal, or unreasonable interruption of care, treatment, and services.

• File a complaint regarding alleged violation of patient rights with the State of Florida Agency for Healthcare Administration
 

Patient’s Responsibilities

The safety of healthcare delivery is enhanced when patients, as appropriate to their condition, are partners in the healthcare process. To facilitate the safe delivery of care, treatment and services, patients have the following responsibilities:

• Providing information to the healthcare provider, that is, to the best of your knowledge, accurate and complete, about present complaints, past illnesses, hospitalizations, medications and other matters relating to your health. The patient and family must report perceived risks in their care and unexpected changes in his or her condition to the healthcare provider

• Asking questions when you do not understand your care, treatment, or service or what you are expected to do

• Following instructions related to the care, treatment, and service plan developed. You should express any concerns about your ability to follow the proposed care plan or course of care, treatment, and services

• Accepting the consequences if you choose not to follow the care, treatment, or service plan

• Showing respect and consideration of the hospital’s staff and property, as well as other patients and their property

• Meeting financial obligations as promptly as possible as agreed to with the hospital

• Following the hospital’s rules and regulations

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