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Evans Memorial Hospital respects your right as a patient, recognizing that each patient is an individual with unique healthcare needs. It is the hospital’s obligation and privilege to assist you in exercising your rights as a patient and to inform you of any responsibilities you may have in exercising your rights. The patient and as applicable-parent, guardian, or other legal representative has the right to: • Receive care, treatment, and/or services that respect your cultural, psychosocial, religious and spiritual values, beliefs, and preferences and respects and preserves your personal dignity and contributes to a positive self-image. • Impartial access to medically indicated treatment without discrimination regardless of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, and gender identity or expression. • Have an Advance Directive (such as a living will or durable power of attorney for healthcare) concerning treatment with the expectation that the hospital staff and practitioners who provide care will honor that directive to the extent permitted by law. • Designate a decision-maker in case you are incapable of understanding a proposed treatment, procedure, or if you are unable to communicate your wishes regarding your care. • Know the identity of physicians, nurses, and others involved in your care, treatment, or services, as well as, when those involved are students, or other trainees. • Ask and be informed of the existence of business relationships among the hospital, educational institutions, other healthcare providers, or payers that may influence your treatment and care. • Obtain information from physicians and other direct caregivers in understandable terms concerning diagnosis, treatment, prognosis and plans for discharge and follow-up care. • Have your family, as appropriate and allowed by law, to be involved in your care, treatment, and service decisions. • Make decisions about your care and refuse care, treatment, or services to the extent permitted by law and to be informed of the medical consequences of such action. • Participate in the development and implementation of your plan of care. • Consideration of security and personal privacy. Case discussion, consultation, examination, and treatment should be conducted to protect your privacy. You may request transfer to another room if another patient or visitors in that room are unreasonably disturbing you. • Be provided with information about outcomes of care, treatment, and services, including unanticipated adverse outcomes that the patient needs in order to participate in current and future healthcare decisions. • Expect that all communications and records pertaining to your care be treated as confidential by the hospital, except in cases such as suspected abuse or public health hazards when reporting is permitted or required by law. • Information about hospital policies that relate to your care. You have the right to express a concern or file a complaint or grievance regarding your care to the attending physician, nurse assigned to you, or the Nursing Supervisor. You have the right to a timely response to your concern or complaint and a resolution when possible. Expression of a concern or complaint will not compromise your care or future access to care. You may ask to 11 Patient Rights & Responsibilities


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