MomDoc’s Administrator shall ensure that at the time of admission (New patient visit) a patient or the patient’s representative is given a written copy of the patient rights. The administrator will also ensure that a copy of MomDoc’s patient rights are posted in a conspicuous spot at each MomDoc location along with our current license from the Arizona Department of Health Services.
MomDoc’s Administrator will ensure that each patient is treated with respect, consideration and dignity and will ensure that patients are not subjected to abuse, neglect, exploitation, coercion, manipulation, sexual abuse or sexual assault, restraint or seclusion unless allowed in Arizona Health Statute R9-10-1012(B). The Administrator will ensure that retaliation for submitting a complaint to the Department or another entity, or misappropriation of personal and private property by an outpatient treatment center’s personnel members will not be tolerated.
Our Commitments to You
MomDoc’s Administrator will ensure the following happens as appropriate (unless in an emergency):
Consent: Patient or the patient’s representative may consent to or refuse treatment, and may refuse or withdraw consent for treatment before treatment is initiated.
Informed Decisions: Patient will be informed of alternatives to proposed psychotropic medication or surgical procedure and associated risks and possible complications.
Directives & Complaints: Patient will be informed of MomDoc’s policy on health care directives or complaint process.
Privacy & Photography: Patient’s consent to photographs of the patient before patient is photographed will be obtained.
Records: Written consent to release medical or financial records will be obtained unless permitted by law.
Your Rights as a Patient
MomDoc’s patient rights will include the following:
Non-Discrimination: To not be discriminated against based on race, national origin, religion, gender, sexual orientation, age, disability, marital status, or diagnosis.
Individualized Care: To receive treatment that supports and respects the patient’s individuality, choices, strengths and abilities.
Privacy: To receive privacy in treatment and care for personal needs.
Access to Records: To review, upon written request, the patient’s own medical records according to A. R.S. 12-2293, 12-2294 and 12-2294.01.
Referrals: To receive a referral to another health care institute if MomDoc is not authorized or not able to provide physical health services need by the patient.
Participation: To participate or have the patient’s representative participate in the development of, or decisions concerning treatment.
Research: To participate or refuse to participate in research or experimental treatment.
Support: To receive assistance from a family member, the patient’s representative or other individual in understanding, protecting or exercising the patients’ rights.
Follow-up: To be given follow-up instructions orally or in written form before patient leaves the facility.
Rights and Responsibilities
The following list of patient rights and responsibilities does not presume to be all-inclusive, but is intended to show our concern and to emphasize the need for observance of these rights and responsibilities:
Respectful Environment: Receive considerate and respectful care and ensure that care is provided in a safe environment, free from all forms of abuse, harassment or discrimination, neglect, exploitation, coercion and manipulation.
Provider Information: Know the name of the provider who is providing your care and the names and professional relationships of other providers who will be involved in your care.
Clear Communication: Receive information about your health status, diagnosis, prognosis, course of treatment, prospects for recovery, and outcomes of care (including unanticipated outcomes) in terms you can understand.
Consent: Not undergo any procedure unless you or your legally authorized representative gives voluntary, competent and understanding consent.
Confidentiality: Expect that treatment records are confidential unless you have given permission to release information or reporting is required or permitted by law.
Billing: An itemized and detailed explanation of your complete medical bill.
Grievances: Communicate concerns/grievances regarding your care to a patient representative without fear of retaliation from the Department or any other entity.
Translation: Access to an interpreter or translator if necessary.
Submit a complaint by reaching out to the medical office supervisor of your location, or by submitting a Rate your visit, found at MomDoc.com.