It is the patient responsibility to:
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Give accurate and complete information about complaints, past illnesses,
hospitalizations, medications, advance directives, and other matters of care.
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Telling the staff or physician when you do not understand a
treatment course, use of medication, or care decision.
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Giving correct up-to-date insurance information, Social Security Number, address,
contact number, and treating physicians.
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Adhere to our Financial and Payment Policy
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Adhere to our Insurance and Billing Policy and Practices
The patient has a right to:
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Review the record of your case at any time
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Refuse all or part or your treatment and be informed of the expected results of those
decisions.
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Be informed of any relationship of this practice and any other organization or service to
which you are referred. You have the right to choose the organization or service you prefer.
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Receive service without regard to race, religion, color, sex, national origin, religion,
age, or handicap.
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