1. Become informed of rights as a patient in advance of, or when discontinuing, the provision of care. The patient may appoint a representative to receive this information should patient so desire.
2. Be treated with dignity and receive considerate and respectful care provided in a safe environment.
3. Remain free from seclusion or restraints of any form that are not medically necessary or are used as a means of coercion, discipline, convenience or retaliation by staff.
4. Exercise these rights without regard to age, race, disability, sex or cultural, economic, education, or religious background or the source of payment for care given.
5. Knowledge of the name of the physician and professional staff who have primary responsibility for coordinating the patient’s care and the name and professional relationships of other physicians and non-physicians who will participate in care.
6. Receive information from the physician about the illness, course of treatment and prospects for recovery in terms that the patient can understand.
7. Receive as much information about any proposed treatment or procedure as needed in order to give informed consent or to refuse this course of treatment. Except in emergencies, this information shall include a description of the procedure or treatment, the medically significant risks involved in this treatment, alternate course of treatment or non-treatment and the risks involved in each and to know the name of the person who will carry out the procedure or treatment.
8. Participate actively in decisions regarding medical care. To the extent permitted by law, this includes the right to request and/or refuse treatment.
9. Formulate advance directives regarding patient’s healthcare, and have ambulatory surgery center staff and practitioners who provide care in the ambulatory surgery center comply with these directives (to the extent provided by state laws and regulations).
10. Know that you can express a complaint regarding your care or any violation of your rights, and that your doing so will not adversely affect the quality of care provided.
11. Be advised of the ambulatory surgery center’s grievance process, should the patient wish to communicate a concern regarding the quality of the care patient receives. Notification of the grievance process includes: whom to contact to file a grievance, and that patient will be provided with a written notice of the grievance determination that contains the name of the ambulatory surgery center contact person, the steps taken on patient’s behalf to investigate the grievance, the results of the grievance and the grievance completion date.
12. Change physicians if desired, either within the ambulatory surgery center or another physician of the patient’s choice.
13. Full consideration of privacy concerning the medical care program. Case discussion, consultation, examination and treatment are confidential and should be conducted discreetly. The patient has the right to be advised as to the reason for the presence of any individual involved in the patient’s healthcare.
14. Confidential treatment of all communications and records pertaining to patient’s care and visit at the ambulatory surgery center. The patient’s written permission shall be obtained before medical records can be made available to anyone not directly concerned with patient’s care.
15. Full disclosure of the privacy policy.
16. Access information contained in your medical records within a reasonable time frame in accordance with state/federal laws and regulations.
17. Reasonable responses to any reasonable requests made for service.
18. Leave the ambulatory surgery center even against the advice of the attending physician.
19. Reasonable continuity of care and to know in advance the time and location of appointment as well as the physician providing the care.
20. Be advised if physician/ambulatory surgery center proposes to engage in or perform human experimentation affecting the care or treatment. The patient has the right to refuse to participate in such research projects or clinical trials.
21. Be informed by the attending physician or designee of the continuing health care requirements following discharge.
22. Obtain information before scheduled surgery about payment requirements of the bill, regardless of source of payment.
23. Examine and receive an explanation of the bill regardless of source of payment.
24. If eligible for Medicare, to know upon request and in advance of treatment whether a healthcare provider or facility accepts the Medicare assignment rate.
25. Expect reasonable safety insofar as the ambulatory surgery center’s practice and environment are concerned.
26. Have all patients’ rights apply to the person who may have legal responsibility to make decisions regarding medical care on behalf of the patient.
27. A list of these patient’s rights, which shall be posted within the ambulatory surgery center so that such rights may be read by all patients.
28. Receive appropriate knowledge regarding absence of malpractice insurance.
29. Receive appropriate information regarding provider credentialing.
30. Receive pastoral care as requested and as appropriate to patient’s needs.

All ambulatory surgery center personnel, medical staff members and contracted agency personnel performing patient care activities shall observe these patients' rights.