Individual Dignity

• To have your individual dignity and privacy respected at all times
• To receive a prompt and reasonable response to a question or request regarding your medical services
• To know what patient support services are available, including whether an interpreter is available if you do not speak English
• To know what rules and regulations apply to your conduct
• To express grievances regarding any violation of your rights, as stated in Florida law, through the grievance procedure of the health care provider or health care facility which served you and to the appropriate state licensing agency

Access to Health Care

• To have impartial access to medical treatment or accommodations, regardless of race, national origin, religion, physical handicap, or source of payment
• To receive treatment for any emergency medical condition that will deteriorate from failure to receive medical treatment

Treatment Information Disclosure

• To know the name, function and qualifications of each health care provider who is providing medical services
• To be provided with information concerning diagnoses, planned course of treatment, alternatives, risks, and prognosis
• To refuse any treatment, except as otherwise provided by law
• To know if medical treatment is for purposes of experimental research and to give consent or refusal to participate in such experimental research

Information Disclosure

• You have the right to request and receive from Citrus Health Care:
• A detailed description of the referral process for health care services
• A description of the process used to determine whether health care services are medically necessary, including but not limited to experimental or investigational medical treatments
• A description of the quality assurance program
• The policies and procedures relating to prescription drug benefits
• The policies and procedures relating to confidentiality and disclosure of medical records
• The process used to credential contracted providers

Financial Information Disclosure

• To be given, upon request, full information and necessary counseling on the availability of known financial resources for care.
• To receive, upon request, prior to treatment, a reasonable estimate of charges for medical care.
• To receive a copy of a reasonably clear and understandable, itemized bill and, upon request, to have the charges explained.
• To know what services are covered benefits, what costs are paid and what you are responsible for paying (for example a co-payment).
• To be provided with a description of and a link to the performance outcome and financial data published by the Agency for Health Care Administration.

• Provide the health care provider, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to your health
• Report unexpected changes in your condition to the health care provider
• Report to the health care provider whether you understand the contemplated course of action and what is expected of you
• Follow the treatment plan recommended by the health care provider
• Keep appointments, and, when you are unable to do so for any reason, notify the health care provider or facility
• Understand that you are responsible for your actions if you refuse treatment or do not follow the health care provider’s instructions
• Assure that the financial obligations of your health care are fulfilled as promptly as possible