The following serves as a basic overview of rights and responsibilities while obtaining services. When the words “patient” or “you/your” are used, they are also intended to designate patients and their legal guardian or legally authorized representative, as applicable. 

Patient Rights

You have the right to: 

• Be treated with dignity and respect 
• Not be denied services on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, age, protected veteran status, disability status, political affiliation or belief, genetics, marital status, pregnancy status, or any other legally protected status.
• Receive services that are respectful of and responsive to your cultural, linguistic and disability needs  
• Expect effective communication that maintains confidentiality
• Withdraw consent for treatment 
• Expect reasonable coordination of care between providers, as well as for referrals outside the organization 
• Expect confidentiality of your medical record and billing information to the extent provided by law
• Have access to your record and to decide who else can see your records in accordance with the Notice of Privacy Practices.
• Ask questions and receive answers about the services you receive 
• Request an estimate of charges prior to receiving care
• Request an explanation of all billing charges, payment policies and billing procedures
• Expect a timely resolution of your health care and/or billing concerns
• Be involved in and make decisions about your treatment. 
• To provide feedback about services and to file a complaint if you are not satisfied with your care. To file a complaint against a provider you may contact the National Regulatory Board in your state or you may contact Support@pathccm.com to get connected to our Grievance Coordinator. 

Patient Responsibilities

In providing care, we have the right to expect behavior on the part of patients and their families and friends that is reasonable and responsible. You have the responsibility to:

• Treat your providers and team members with respect 
• Provide accurate and complete information about your symptoms, conditions, medications, and treatment history 
• Inform your treatment team if your condition worsens or something unexpected happens that is related to your treatment 
• Ask questions about anything not understood
• Participate with your provider in deciding on your plan of care and then follow that plan including participation in regular check-in questionnaires 
• Accept the consequences for refusing treatment or for not following your treatment plan
• Use prescriptions given to you only for yourself
• Ensure informed consent is provided by all applicable guardians or legal representatives of the patient
• Provide accurate information about your identity and health insurance coverage 
• Know what your insurance or health plan covers
• Pay bills promptly
• Keep appointments on time and, when necessary, follow the cancellation policy
• To reschedule/cancel an appointment at least 24 hours in advance if you cannot attend
• To inform us as soon as possible if you change your address, phone number, email address, or health insurance plan