Hart Family Medical Center is here to serve our patients. We make every effort to offer specialized attention to each individual and treat each patient's medical and personal situation exclusively of others. While upholding these values, however, it is also important to offer our services in a manner that allows us to help as many patients as possible. To promote this goal, we have developed the following outline of patient rights and responsibilities.

Patient Rights

Hart Family Care Patients have the Right:

• To have access to their medical records in accordance with the law.
  
• To see plan providers and get covered services within a reasonable period of time.
  
• To have services accessible and available to them.
  
• To access emergency health care services without prior authorization.
  
• To choose providers for both primary and specialty care, from among those affiliated with their medical plan, and to refuse care from any specific providers.
  
• To know treatment choices and participate in decisions about their health care.
  
• To use an advance directive (such as a living will or power of attorney).
  
• To choose a representative to facilitate care or treatment decisions, including withholding resuscitative services or to forego or withdraw life-sustaining treatment, when they are unable to do so.
• To receive information on available treatment options.
  
• To receive information on their care in a language they understand.
  
• To make complaints and obtain a prompt resolution of issues relating to authorization, coverage, or payment of services.
  
• To get information about their health care coverage and costs.
  
• To be treated with fairness, respect, dignity, and consideration for privacy.
  
• To the privacy of their medical records and personal health information. To have health and medical records, as well as any other information, treated with confidentiality, regardless of the format of that information.
  
• To be free from discrimination based on ethnicity, national origin, religion, sex, age, mental or physical disability, sexual orientation, genetic information, or source of payment.
  

Patient Responsibilities

Hart Family Care Patients have the Responsibility:

• To Provide Proof of Insurance Coverage.
  

Please present your insurance card and picture identification when registering for your appointment. New patients will not be seen without this documentation.

• To Provide Payment for Services Rendered.
  

Most insurance plans require that a co-pay is paid at the time of the office visit. In addition, insurance coverage generally only applies to basic medical services. Please come prepared to make all appropriate payments by cash, check, or credit card at the time of your exam.

• To Respect the Needs and Preferences of Your Fellow Patients.
  

Unscheduled Appointments:

We understand that illness often develops unexpectedly, but our first priority is to maintain the appointments of our scheduled patients. Walk-in patients will be seen depending on that day's appointment availability.

Ten Minute Late Policy:

If you are over ten minutes late, we will need to move your exam time to maintain the appointments of those patients scheduled behind you. Please understand that we will make every effort to treat you as soon as possible, but high office volume may require that we reschedule your appointment to a later date.

Eating and Drinking in the Office:

Please help keep our office clean by finishing all food and beverages before entering the building.

To Obey All Applicable Laws.

Presence of Legal Guardian:

A legal guardian must be present throughout the visit of all patients under 18 years old. If a legal guardian is unable to attend, a Minor Consent for Treatment form must be completed by the legal guardian and presented by an authorized adult on or before the exam date

To Promote Our Quality of Care.

Focus on the Patients in Need:

To accommodate as many patients as possible and allow our doctors to focus on the patients in need, please limit the number of family and friends that attend your next appointment. Only the patient and a legal guardian will be allowed in the exam room.

Arrive Ten Minutes Early:

By arriving early, we are better able to process your registration information and treat you at your appointment time.

Immunization Records and Medication Containers:

Please bring your child's yellow immunization record at the time of their annual physical exam. This form tells our providers which vaccines and immunizations your child needs to maintain good health. Also, please bring the containers of all medications you currently use to your next appointment. This helps our care providers avoid unnecessary prescriptions and harmful drug reactions.