Patient Rights and Responsibilities

As a Freedom Fertility Patient, You Have the Right to:

• Be treated with dignity, courtesy, and respect.
• Have their property, beliefs, preferences and values respected.
• Know the name and title of our personnel who are providing service and to expect that they are qualified to provide care and speak with a staff member’s supervisor if requested.
• Receive services regardless of age, race, color, national origin, religion, sex, disability, gender identity or any other category protected by law.
• Receive information in a way that can be understood to help make informed decisions about patient care.'
• Be informed of the nature, purpose, frequency and outcomes, including potential unexpected outcomes, of service.
• Refuse all or part of our care and services and be told the consequences of that decision.
• Receive information regarding community resources and be informed regarding any financial relationships between our company and other providers to which the patient is referred by us.
• Expect us to coordinate care with the patient’s practitioner and other providers.
• Expect timely delivery of service.
• Receive notice of impending discharge or transfer to another provider.
• Expect confidentiality of patient records and a copy of records upon request.
• Be advised of their patient’s financial responsibility for payment of our services when initiated and when changes occur.
• Have patient’s personal representative, family or guardian exercise these rights on patient’s behalf if patient is unable to do so.in accordance with law and regulation.
• Voice grievances about patient care or our services without fear of reprisal or unreasonable interruption of care. Complaints shall be reported to Company management.
• Speak with a healthcare professional.

As a Freedom Fertility Patient, You Have the Responsibility to:

• Provide accurate and complete information regarding medical history (past illnesses, hospitalizations, allergies, and other important medical information), current conditions, and any payors which may cover patient's care, and to promptly inform Freedom of any changes in this information.
• Agree to accept healthcare workers regardless of age, race, color, national origin, religion, sex, disability or any other category protected by law.
• Remain under practitioner's care, notify Freedom Fertility immediately of changes in patient's practitioner, medication, treatment or symptoms, and notify my treating practitioner of participation in a care management program, if applicable.
• The responsibility to submit any forms that are necessary to participate in programs, to the extent required by law.
• Treat Freedom Fertility staff with respect, courtesy and consideration and ask for information about anything I do not understand about my care.
• Pay for care and services you have received.