Patient Rights:

You or your representative has the right to:

  • Be informed of your rights before patient care is given or discontinued whenever possible
  • Personal privacy
  • Interpreters to assist with language needs
  • Information concerning diagnosis, evaluation, treatment, and prognosis.
  • Choose or change your health care provider
  • Participate in making informed decisions regarding care and treatment except when such participation is contraindicated for medical reasons
  • Request a second opinion
  • Write a Living Will, Medical Power of Attorney, and/or a CPR directive
  • Request an Advanced Directive Form approved by the State of Wisconsin
  • Accept, refuse or withdraw from clinical research
  • Respectful treatment, which recognizes and maintains your dignity and values
  • Care in a safe setting
  • Be free of all forms of abuse or harassment
  • Exercise his or her rights without being subjected to discrimination or reprisal
  • Personal information being shared with those who are involved in your care
  • Confidentiality of your medical and billing records
  • Reasonable requests to receive confidential communications of protected health information from us by alternative means or at alternative locations
  • Inspect and request copies of your protected health information
  • Receive an accounting of non-routine disclosures of protected health information
  • Voice a complaint and/or grievance to your healthcare providers and administration without fear of reprisal

Contact:  Surgical Associates

Chief Operating Officer
2400 Pine Ridge Blvd
Wausau, WI 54401
(715) 847-2022

 

Department of Health Services of the Division of Quality Assurance
1-800-642-6552

 

Patient Responsibilities:

You have the responsibility to:

  • Provide accurate and complete information to the best of your ability about your health, any medications taken, including over the counter products and dietary supplements, and any allergies or sensitivities
  • Report perceived risks in your care and unexpected changes in your condition
  • Understand your treatment plan and ask questions when needed
  • Follow the agreed-upon treatment plan prescribed by the provider and participate in your care
  • Provide a responsible adult to provide transportation home and to remain with them as directed by the provider or as indicated on discharge instructions as applicable
  • Provide accurate and updated information for insurance and billing
  • Accept personal financial responsibility for any charges not covered by insurance as promptly as possible
  • Know your insurance requirements such as pre-authorization, deductibles and co-payments
  • Call the billing office with questions or concerns
  • Behave respectfully toward all health care professionals and staff, as well as other patients and visitors; physical or verbal threats will not be tolerated
  • Respect the property of others