Patient Bill of Rights
Our goal is to ensure your visit is exceptional and your care is world-class. Our Patient Bill of Rights clarifies your rights as a patient with Revive Infusion.
We believe that all patients receiving services from Revive Infusion should be informed of their rights. Therefore, you are entitled to:
Be fully informed in advance about care/service to be provided, including the disciplines that furnish care and the frequency of visits, as well as any modifications to the plan of service.
Be informed of your estimated financial responsibilities in advance of service / care being provided. Medicare beneficiaries will be informed if assignment is not accepted.
Receive information about the scope of services that the organization will provide and specific limitations on those services.
Refuse care or treatment after the consequences of refusing care or treatment are fully presented.
Have one’s property and person treated with respect, consideration, and recognition of patient dignity and individuality
Be able to identify visiting personnel members through proper identification.
Be free from mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of patient property.
Voice grievances/complaints regarding treatment or care, lack of respect of property or recommend changes in policy, personnel, or care/service without restraint, interference, coercion, discrimination, or reprisal.
Have grievances/complaints regarding treatment or care that is (or fails to be) furnished, or lack of respect of property investigated.
Confidentiality and privacy of all information contained in the patient record and of Protected Health Information.
Be advised on facility’s policies and procedures regarding the disclosure of clinical records.
Receive appropriate care without discrimination in accordance with physician orders.
Be informed of any financial benefits when referred to an organization.
Be informed of patient rights under state law to formulate an Advanced Directive, if applicable.
Be fully informed of one’s responsibilities.
Patient Responsibilities:
Patient submits forms that are necessary to receive services.
Patient provides accurate medical and contact information and any changes.
Patient notifies their provider of participation in the services provided by Revive Infusion.
Patient notifies Revive Infusion of any concerns about the care or services provided.