309.662.6120 Phone
800.466.8275 Toll Free

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 not be deprived of any rights, benefits, or privileges guaranteed by law based solely on his/her status as a patient

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 be permitted to inspect and copy all of their clinical and other records concerning their care and maintenance kept by TCOM or their physician

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, including surgical complication, illness, or accident. 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 is 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 be informed of the right to change providers if other qualified providers are available.

To umimpeded, private, and uncensored communication of his/her choice by mail and telephone. TCOM shall ensure that correspondence is promptly received and mailed, and that telephones are reasonably accessible.

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

To expect:

  • 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

Methods for expressing grievances and suggestions to the facility:
Contact Sarah Gardner at (309) 662-6120 ext. 303 or sarahe1590@aol.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: (800) 252-4343

To be informed as to:
Office of Medicare Beneficiary Ombudsman
Phone: 1-800-633-4227
Internet: www.medicare.gov or www.cms.hhs.gov/center/ombudsman

The Center for Outpatient Medicine, LLC is accredited by the Accreditation Association for Ambulatory Health Care, Inc. Any complaints regarding services provided at The Center for Outpatient Medicine LLC can be directed in writing to the AAAHC at 3 Parkway North, Suite 201, Deerfield, IL 60015, by phone at 847.853.6060, or by fax at 847.853.9028.