| The Center for Outpatient Medicine | 2502 East Empire Street Suite B | Bloomington, IL 61704 |
| Phone: 309.662.6120 | Toll Free: 800.466.8275 | Fax: 309.663.8972 |
Patient Bill of Rights
Patient Bill of Rights
In recognition of the responsibility of this facility in the rendering of patient care, these rights are affirmed in the policies and procedures of The Center for Outpatient Medicine, LLC.
To be treated with respect, consideration and dignity regardless of psychosocial, spiritual and/or cultural
values
To feel secure of self and property
To be provided physical access to the facility for the physically and visually impaired
To obtain the name and function of any person providing services to you
To be provided with privacy and safety during care
To expect that all information gathered during treatments, disclosures, and records are treated confidentially, except when required by law, and to be given the opportunity to approve or refuse their release
To be provided, to the degree known, complete information concerning their diagnosis, treatment and prognosis. When it is medically inadvisable to give such information to a patient, the information is provided to a person designated by the patient to be a legally authorized person.
To be given opportunity to participate in decisions involving their health care, except when participation contraindicated for medical reasons
To receive from his/her physician information necessary to give informed consent prior to the start of any procedure and/or treatment, except in emergencies. Such information for informed consent should include the specific procedure and/or treatment, significant medical risks involved, and the probable duration of incapacitation. Where significant alternatives for medical care or treatment exist, or when the patient requests information concerning medical alternatives, the patient has the right to such information and the consequences of not complying with therapy. The patient has the right to know the name of the person responsible for the procedures and/or treatment.
To refuse treatment and be informed of consequences of refusing treatment or not complying with therapy
To have complaints reviewed, and, when possible, resolved
To be informed as to:
- Expected conduct and responsibilities as a patient
- Services available from the facility
- Provisions for after-hours and emergency care
- Fees for services
- Payment policies
- Methods for expressing grievance and suggestions to the facility: Contact Sarah Gardner at (309)662-6120 ext 207 or businessdirector@tcomllc.com.
- Procedure for reporting health concerns to the appropriate authorities at: Illinois Department of Public Health
Division of Health Care Facilities and Programs
525 West Jefferson Street, 4th Floor
Springfield, Illinois 62761-0001
Phone: (217) 782-7412 - Their reports of pain will be believed
- Information about pain and pain relief measures
- A concerned staff committed to pain prevention and management
- Health professionals who respond quickly reports of pain
- Effective pain management




