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Alpha Medical Aids Inc. |
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Healthful Outcomes at Home |
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Patient bill of rights and responsibilites |
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516 Pantops Center, Chv.,VA. Toll Free: 866-470-8121 Phone: 434-971-7300 Fax: 434-971-3739 E-mail: dexter_d@alphamedicalaids.com |
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As a patient of Alpha Medical Aids, Inc. you have the following rights:
You are to receive appropriate and professional quality home care services without discrimination as to race, color, religion, sex, national origin, sexual orientation, handicap, or age.
You will be treated with dignity, courtesy, and respect by all who provide home care services to you. Be free from physical and mental abuse and neglect.
Be given proper identification by name and title of everyone who provides home care services to you.
Choose your home health care providers and receive a timely response regarding any request for home care services.
Be given information regarding policies and procedures and charges for services, including eligibility for third party reimbursement.
Be given information concerning your diagnosis, treatment, alternatives, risks, and prognosis as required by your physician’s legal duty to disclose, in terms and language you can understand.
Give informed consent prior to the start of any treatment.
Be given data privacy and confidentiality. Review your clinical record at your request.
Be admitted for service only if Alpha Medical Aids, Inc. has the ability to provide safe, professional care at the level of intensity needed.
Ask questions receive answers, participate in the development of your plan of home care services, and be given an assessment and update periodically.
Receive information regarding procedure for/resolution: voicing of grievances/concerns or suggested changes in home care services and/or staff without coercion, discrimination, reprisal, or unreasonable interruption in service.
Be informed of your rights under state laws to make decisions concerning medical care, including the right to accept or refuse treatment and your right to formulate advance directives.
Be given information regarding the policies and procedures for implementing Advance Directives, including a statement of limitations if your provider cannot implement an Advance Directive on the basis of conscience.
Receive care without condition or discrimination based upon the executive of Advance Directives.
Participate in any discussion concerning ethical issues regarding your care and be given information regarding the mechanism for the consideration and resolution of ethical issues.
Be given information in a timely manner regarding anticipated transfer of your home care services to another home care service, health care facility and/or termination of services to you.
Be given complete information regarding experimental treatment and/or research.
Discontinue therapy at any time immediately following notification to Alpha Medical Aids by Authorized party.
As a patient of Alpha Medical Aids, Inc. you have the following responsibilities:
Accept all financial responsibility for equipment provided to you. Use it with reasonable care, not alter or modify it and return DME in good condition.
Use DME for purposes indicated and in compliance with the physician’s order.
Unless otherwise specified, keep DME in your possession and at the address delivered.
Report any malfunctions or defects so that repair/replacement can be arranged. Provide access to all rental equipment for repair/replacement, maintenance, and/or pick-up.
Assist in developing and maintaining a safe environment and adherence to your plan of care.
Give Alpha Medical Aids, Inc. accurate and complete information regarding: past illnesses, allergies, and changes in your condition and/or Advance Directives.
Federal Law “Patient Self-Determination Act” gives you the right to make health care decisions in advance through instructions called “Advance Directives” or “Living Wills”. Notify your Doctor or AMA about Advance Directives.
Inform Alpha Medical Aids, Inc. if you have been or are currently a client with another home care company or if you change address or phone numbers or doctors. Inform AMA of any change in insurance coverage or hospitalization.
Inform Alpha Medical Aids, Inc. of any complaints or concerns or suggestion for prompt action. If in doubt, always call your local store location or call 1-866-470-8121.
Alpha Medical Aids, Inc. utilizes trained medical professionals for evaluation and assessment purposes but we do not provide emergency medical services. If you need emergency medical assistance, call 911 for appropriate assistance. |
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*Please include your phone number with your E-Mail Thank You. |