Patient Bill of Rights
In recognition of the responsibility of this Center in
the rendering of patient care and our commitment to high
standards of quality professional care, these rights are
affirmed as the policies and practices of The Surgery
As a patient and guest in this Ambulatory Surgery Center,
1. The right to be informed of your rights as a patient in
advance of receiving care. The patient may appoint a
representative to receive this information should they so
2. The right to exercise these rights without regard to sex,
cultural, economic, educational, or religious background or
the source of payment for care.
3. The right to considerate, respectful and dignified care,
provided in a safe environment, free from all forms of
abuse, neglect, harassment and/or exploitation.
4. The right to access protective and advocacy services or
have these services accessed on your behalf.
5. The right to courtesy, consideration, respect, privacy,
dignity, responsiveness and timely attention to your medical
and personal care needs. We adhere to the principle that
patients come first.
6. The right to appropriate assessment and management of
7. The right to receive complete information from your
physician about your diagnosis, illness, course of
treatment, risks, benefits, alternative treatments, outcomes
of care (including unanticipated outcomes), and your
prospects for recovery in terms that you can understand.
Your physician should discuss these with you prior to the
procedure and give you the opportunity to ask any questions
you may have.
8. The right to participate in decisions regarding your
medical treatment. Health care decisions should be a shared
process between patients, their families and health care
professionals. You are free to accept or refuse health care
that is recommended by your physician(s) and to know the
consequences of such action.
9. The right to be advised if your physician has a financial
interest in The Surgery Center.
10. The right to have discussions, consultations,
examinations and treatment conducted discreetly and held in
11. The right to be informed by your physician or a delegate
of your physician of the continuing healthcare requirements
following your discharge.
12. The right to be informed of the facility’s policy and
state regulations regarding advance directives and be
provided advance directive forms if requested.
13. The right to confidentiality and to expect that
communications and records pertaining to your care should be
treated by the Center as confidential and, except where
required by law, should not be released without your express
14. The right to receive information in a manner that you
understand and a right and a responsibility to take an
active role in your care and treatment.
15. The right to be advised if the Center proposes to engage
in or perform experimental research affecting your care or
treatment. You also have the right to refuse to participate
in any such research projects.
16. The right to be informed about fees for services,
payment policies, and to examine and receive an explanation
of your bill regardless of the source of payment.
17. The right to treatment without regard to race, color,
national origin, sex, handicap or age.
18. The right not to be deprived of any rights, benefits or
privileges guaranteed by law based solely on your status as
a patient in this Center.
19. The right to unimpeded, private and uncensored
communication of your choice by telephone. We shall ensure
that you have reasonable access to a telephone.
20. The right to have your representative notified of any
surgical complication, illness or accident.
21. The right to change Physicians.
22. The right to translator services. (within reason)
23. The right to designate advance directives such as a
Living Will or a Durable Healthcare Power of Attorney which
would authorize your designated agent to make health care
decisions for you when you might be unable to do so. You are
responsible for providing The Surgery Center with a copy of
any advanced directive.
24. The right to express grievances and complaints regarding
the care and services provided or to make suggestions to the
facility’s CEO or Director of Clinical Services at 732-7700
or to the Michigan Department of Consumer and Industry
Services, Bureau of Health Systems at 1-800-882-6006 or to
the Health Care Financial Administration. If you file a
grievance with The Surgery Center, you will be provided with
a written notification of the grievance determination that
contains the name of the facility’s contact person, the
steps taken on your behalf to investigate the grievance, the
results of the grievance and the grievance completion date.
25 The right to be advised of contact information for the
state agency to whom complaints can be reported, as well as
contact information for the Office of the Medicare
Beneficiary Ombudsman. www.cms.hhs.gov/center/ombudsman.asp
26. The right to have all patient rights apply to the person
who may have legal responsibility to make decisions
regarding medical care on your behalf.
5202 Miller Road
Flint MI 48507