As a patient, you have the right to:
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Considerate, respectful care at all times in a safe setting and under all circumstances with recognition of your personal dignity.
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Personal and informational privacy.
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Be free from all forms of abuse and harassment acts of discrimination or reprisal.
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Confidentiality of records and disclosures. Except when required by law, you have the right to approve or refuse the release of records.
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Information concerning your diagnosis, evaluation, treatment, and prognosis, to the degree known. When it is medically inadvisable to give such information to a patient, the information is provided to a person designated by the patient or to a legally authorized person.
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The opportunity to participate in decisions involving your healthcare, except when such participation is contraindicated for medical reasons.
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Competent, caring healthcare providers who act as your advocates.
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Know the identity and professional status of individuals providing service.
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Adequate education regarding self-care at home written in language you can understand.
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Be fully informed about a treatment or procedure and the expected outcome before it is performed.
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Make informed decisions about medical care, including the right to accept or refuse medical or surgical treatment.
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Expect that when the need arises, reasonable attempts will be made for health care professionals and other staff to communicate in a language or manner primarily used by you.
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Information concerning the surgery center’s policy on any advanced medical directives.
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Be provided with verbal and written notice of the patients rights in advance of the date of the procedure.
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Information regarding the services which are available at this organization.
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Change your provider if other qualified providers are available.
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Appropriate information regarding the absence of malpractice insurance coverage.
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Exercise your rights and obtain impartial access to treatment regardless of race, color, sex, national origin, religion, handicap, or disability.
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Be informed regarding fee for service, payment policies and receive an itemized bill for all services.
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Report any suggestions, complaints, or grievances concerning the quality of services provided to you (or failed to be provided) during the time spent at the facility and receive a follow-up on your comments.
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Know that Marc Wladis, MD and Scott Corin, MD are the owners of Advanced Eye Surgery Center, LLC.
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Refuse to participate in an experimental research.
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If the patient is incompetent under applicable State health and safety laws: Have the person appointed to you under State law exercise your rights and act on your behalf.
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If the patient is not incompetent: Any legal representative designated by the patient in accordance with the State law can exercise your rights to the extent allowed by State law.
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All patients in life threatening situations will have life sustained at this facility and be transferred to: St. Luke’s Hospital
101 Page Street
New Bedford, MA 02740
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File a complaint without retaliation from the surgery center or any of the agencies listed below:
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June Jackson, ASC Administrator
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500 Faunce Corner Road, Suite 180
No. Dartmouth, MA 02747
508.717.0568
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Massachusetts Department of Public Health
250 Washington Street
Boston, MA 02108
617.624.6001
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Centers for Medicare and Medicaid
7500 Security Boulevard
Baltimore, MD 21244
800.633.4227
www.medicare.gov