Patient Rights and Responsibilities

ICHS believes that the best health care can be provided when patients are involved with understanding their health. That is why ICHS encourages patients to ask questions and become partners with ICHS health care team members.

ICHS recognizes that patients have certain rights and responsibilities. ICHS believes that knowing these rights and responsibilities will help patients take part in their care. ICHS follows the privacy and security rules of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Patient Rights at ICHS

You have the right to:

•Choose a health care provider who provides you with quality care.
• Receive care in a safe, private, and respectful setting from knowledgeable personnel.
• Receive services in a manner that respects your language, culture and beliefs.
• Receive information about your care and treatment in terms you can understand.
• Receive services without discrimination based on race, color, sex, marital status, sexual orientation, age, creed, religion, ancestry, gender identity, genetic information, use of service animals, national origin, veteran status, citizenship status, or the presence of any sensory, mental or physical disability or the ability to pay.
• Receive information about ICHS hours, providers, services, fees and payment policies in a language that is easy for you to understand.
• Be notified if your care involves the training of health care providers.
• Privacy of your health care information except as required by law or insurance company contracts.
• Read and receive copies of your
medical records within a reasonable amount of time.
• Know that when an emergency occurs and you are transferred to another facility, a responsible person/family member will be notified.
• Request assistance with information on advance directives for your healthcare.
• Be notified in advance to allow you to choose whether or not you would like to
participate in experimental clinical research studies.
• You have the right to file a complaint if you are not satisfied with the care you receive.
• Restrict the use and disclosure of Protected Health Information (PHI).
• Receive confidential communications.
• Receive a copy of the Notice of Privacy Practices (NOPP).
• Receive an accounting of disclosures of PHI.
• Revoke a prior authorization.
• Language assistance services are free of charge and are available to you. Call 1-855-515-0143 (TTY: 1-206-788-3774).
• File a complaint for privacy violations by calling ICHS’ Compliance Hotline at 1-855-515-0143 or contact the Office for Civil Rights:

Office for Civil Rights
U.S. Department of Health and Human Services
2201 Sixth Avenue – M/S: RX-11
Seattle, WA 98121-1831
Voice Phone (206) 615-2290
FAX (206) 615-2297
TDD (206) 615-2296

You have the responsibilities to:

• Ask questions if you do not understand what you are being told.
• Tell us everything you know about your health history, current health, and any changes in your health.
• Tell us about all medications, herbs, supplements, and over the counter medications you are taking.
• Participate in your care by making decisions, following directions and accepting responsibility for your choices.
• Follow the treatment plan agreed upon with your provider. This includes following instructions of other health care professionals as they carry out the orders of the provider.
• Choose a family member or other person to represent you if you are unable to make your own health care decisions.
• Treat other patients, visitors, volunteers and ICHS staff and property with courtesy and respect.
• Arrive on time for all appointments and let us know in advance if you are unable to keep an appointment.
• Provide accurate information for processing any insurance coverage, and pay any co-payments, co-insurance amounts, and deductibles as requested in a timely manner.
• Inform your provider about any
existing advance directive or medical power of attorney.
• Conduct yourself in an appropriate manner while receiving services from ICHS staff or at ICHS facilities and events. Failure to follow instructions from ICHS staff, comply with policies and treatment agreements, or when refusal of treatment prevents the delivery of safe and appropriate care, the relationship with the patient may be terminated with notice.