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PATIENTS RIGHTS
To receive service within a reasonable period of time.
To receive medically necessary services.
To be treated with respect and courtesy.
To receive all available information about your care and treatment, including risks and options.
To have your medical coverage explained to you.
To have all medical and personal records treated as confidential.
To participate in treatment decisions.
To refuse treatment.
To receive impartial access to treatment.
To receive a second opinion regarding any treatment plan.
To review or to receive a copy of your medical record subject to legal restrictions and reasonable copying charges.
To request review of your medical record by the physician, and to request corrections if necessary.
To be given information on how to file a complaint/grievance.
To formulate an advance directive if you have a life threatening illness or injury.
To provide, or have provided for you, an interpreter in your primary language.
PATIENTS RESPONSIBILITIES
Having appropriate identification, insurance, membership cards, coverage stickers, etc, at the time of the appointment
Keeping appointments or contacting this office in advance to cancel an appointment.
Fulfilling financial obligations at the time of service such as deductible or co-pay fees.
Providing complete and accurate information.
Following the health plan you and the physician agree on.
Being considerate of others
Providing legal documentation of guardianship of a minor being treated.
Providing a list of persons who may receive medical information about you, on your behalf, in an emergency.
You have the right to obtain a free of charge copy of the actual benefit provision, guideline,
protocol or other similar criterion on which a denial decision was based by calling Riverside
Physician Network at 951-788-9800.
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