Patient Rights:

1. Respect and Dignity: You have the right to be treated with respect, dignity, and compassion by our healthcare providers and staff.

2. Privacy and Confidentiality: Your personal information and medical records will be kept confidential in accordance with HIPAA regulations.

3. Informed Consent: You have the right to receive clear and understandable information about your treatment options, including risks, benefits, and alternatives.

4. Quality Care: You have the right to receive high-quality care from qualified and competent healthcare professionals.

5. Safety: Your safety is our top priority, and we maintain a safe and clean environment during your visit.

6. Participation in Treatment Decisions: You have the right to actively participate in decisions about your treatment plan.

7. Access to Records: You have the right to access your medical records and request amendments or corrections as needed.

8. Communication: You have the right to clear and effective communication with your healthcare providers.

9. Non-Discrimination: You have the right to receive care without discrimination based on any protected characteristic.

10. Feedback and Complaints: You have the right to provide feedback, voice concerns, or file complaints about your care or our services.

Patient Responsibilities:

1. Honesty and Transparency: Provide accurate and complete information about your medical history, symptoms, and concerns to assist in your diagnosis and treatment.

2. Compliance with Treatment Plan: Follow the treatment plan recommended by your healthcare provider, including medication regimens, lifestyle modifications, and follow-up appointments.

3. Respect for Staff and Other Patients: Treat our healthcare providers, staff, and fellow patients with respect and courtesy at all times.

4. Financial Obligations: Understand and fulfill your financial obligations for services rendered, including copayments, deductibles, and any outstanding balances.

5. Appointment Attendance: Arrive on time for scheduled appointments or provide advance notice if you need to cancel or reschedule.

6. Safe Use of Services: Follow instructions provided by our healthcare providers for the safe use of any equipment or medications provided during your treatment.

7. Communication: Communicate openly and honestly with your healthcare provider, asking questions and expressing any concerns you may have about your care or treatment.

8. Follow Clinic Policies: Adhere to clinic policies regarding patient conduct, confidentiality, and safety protocols.

9. Provide Feedback: Provide constructive feedback to help us improve our services and enhance the patient experience for others.

10. Personal Responsibility: Take responsibility for your health and well-being by making informed decisions and actively participating in your care.

By adhering to these patient rights and responsibilities, we strive to create a supportive and collaborative healthcare environment that promotes the best possible outcomes for our patients.

[Signature of Clinic Representative]