Patient's Bill of Rights and Responsibilities

A copy of the Patient's Bill of Rights and Responsibilities is available in Adobe Acrobat format (PDF), click here to download it.

The Patient has the right to...

• Receive Services without regard to age, race, color, sexual orientation, religion, marital status, sex, national origin, or sponsor;
• Be treated with consideration, respect, and dignity including privacy in treatment;
• Be informed of the services available at the center and of the provisions for off hour emergency coverage;
• Be informed of the charges for services, eligibility for third-party reimbursements and, when applicable, the availability of free or reduced-cost care. Receive an itemized copy of his/her account statement upon request.
• Obtain from his/her healthcare practitioner, or the health care practitioner's delegate, complete and current information concerning his/her diagnosis, treatment and prognosis in terms the patient can be reasonably expected to understand;
• Receive from his/her physician information necessary to give informed consent prior to start of any non-emergency procedure or treatment, or both. An informed consent shall include, as a minimum, the provision of information concerning the specific procedure or treatment or both, the reasonably foreseeable risks involved, and alternatives for care or treatment, if any, as a reasonable medical practitioner under similar circumstances would disclose in a manner permitting the patient to make a knowledgeable decision;
• Refuse treatment to the extent permitted by law and to be fully informed of the medical consequences of his/her action;
• Refuse to participate in experimental research;
• Voice grievances and recommend changes in policies and services to the center's staff, the operator and the New York State Department of Health without fear or reprisal;
• Express complaints about the care and services provided and to have the center investigate such complaints. The center is responsible for providing the patient or his/her designee with a written response within 30 days if requested by the patient indicating the findings of the investigation. The center is also responsible for notifying the patient or his/her designee that if the patient is not satisfied by the center response, the patient may complain to the New York State Department of Health's Office of Health Management Systems Management (Ph: 271-2652);
• Privacy and confidentiality of all information and records pertaining to the patient's treatment;
• Approve or refuse the release or disclosure of the contents of his/her medical record to any health-care practitioner and/or health-care facility except as required by law or third-party payment contract;
• Access to his/her medical record.

Concerns/Problems/Complaints about Your Health Care

If you have a concern, problem, or complaint related to any aspect of the provision of your care, speak to your doctor, nurse, or other staff member. If facility staff have not resolved the problem, you may contact the New York State Department of Health by mail or phone.

You may call the toll-free number at 1-800-804-5447 or you may file a complaint in writing and send it to:

New York State Department of Health
Centralized Hospital Intake Program
433 River Street - 6th Floor
Troy, New York 12180

Questions or Comments: hospinfo@health.state.ny.us

The Patient's Responsibilities...

• Provision of Information - A patient has the responsibility to provide to the best of his/her knowledge, accurate and complete information about present complaints, past illnesses, medications, and other pertinent facts relating to health status. A patient is responsible for making it known whether he/she clearly comprehends a contemplated course of action and what is expected of them.
• Compliance with Instructions - A patient is responsible for following the treatment plan recommended by his/her practitioner. Including but not limited to the instructions of nurses and allied health personnel. The patient is responsible for keeping appointments, and when he/she is unable to do so, for notifying the responsible practitioner and the Capital Region Ambulatory Surgery Center.
• Refusal of Treatment - The patient is responsible for his/her actions if he/she refuses treatment or does not follow instructions.
• Charges - The patient is responsible for assuring that the financial obligations of his or her health care are fulfilled as promptly as possible.
• Respect and Consideration - The patient is responsible for being considerate of the rights of other patients and personnel and for assisting in the control of noise. Finally, the patient is responsible for being respectful of the property of others and the facility.

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The pictures displayed in www.crasconline.com are images of actual patients and employees who have consented to have their picture in this website.