Clients Rights and Responsibilities

Client Rights & Responsibilities

When you receive services from the Company, you have the following rights and responsibilities.

Your Rights as a Client

As a client, you have the right to:

1. File a Complaint. You may file a complaint regarding services. All complaints will be reviewed and investigated in a timely manner without retaliation.
2. Suggest Changes. You are encouraged to suggest changes or improvements in any aspect of the services we provide.
3. Have Your Civil Rights Protected. Your civil rights are protected under applicable federal and state laws.
4. Cultural, Spiritual, and Gender Considerations. You may request services from a provider with specific cultural, spiritual, or gender-related training or experience. If such services are not available, we will assist you with appropriate referrals when possible.
5. Participate in Treatment. You have the right to actively participate in the development and modification of your treatment plan.
6. Refuse Services. You may refuse services offered to you. You will be informed of any potential consequences of refusal.
7. Request Restrictions. You may request restrictions on the use or disclosure of your protected health information (PHI). While we will consider all requests, we are not required to agree to requested restrictions.
8. Inspect and Obtain Copies of Records. You have the right to inspect and/or obtain a copy of your protected health information. Access to certain records may be limited in accordance with applicable laws. If access is denied, the reason will be explained to you.
9. Request Amendment of Records. You may request amendments to your records if you believe information is incorrect or incomplete. Requests may be denied in certain circumstances; if denied, your request will be maintained in your record.
10. Discuss Your Treatment. You may discuss your treatment with your physician, attorney, or other authorized representative.
11. Receive an Accounting of Disclosures. You have the right to receive an accounting of certain disclosures of your protected health information that were not authorized by you.

Your Right to Receive Information

You have the right to receive the following information:

1. Information regarding potential risks of any medications prescribed at this facility
2. A clear explanation of financial responsibility and payment obligations
3. Information about behaviors or violations that could result in termination of services
4. An explanation of the limits of confidentiality and how your protected health information will be used and disclosed
5. Notification of policy changes that may affect your services

Our Ethical Obligations

The Company commits to the following:

1. Acting in the best interest of each client
2. Not discriminating based on age, race, ethnicity, creed, disability, gender, sexual orientation, religion, or any other protected characteristic.
3. Maintaining objective and professional relationships with clients.
4. Respecting the rights and perspectives of other healthcare professionals.
5. Ending services appropriately or referring clients when clinically indicated
6. Engaging in ongoing professional development and self-evaluation
7. Supporting institutional policies while advocating for improvements when necessary to protect client welfare

Client Responsibilities

As a client, you are responsible for:

1. Meeting financial obligations as outlined in the Payment Contract for Services
2. Following clinic policies and procedures
3. Treating staff and other clients respectfully
4. Providing accurate and complete information about yourself

Concerns or Rights Violations

If you believe your rights have been violated, you may contact the Office Director using the contact information on the acknowledgement form on the right. You may also request a copy of the formal Complaint Policy and Form.

The Client Rights and Responsibilities Acknowledgement form on the right is signed by the client (and the parent or guardian when applicable), witnessed by staff, and filed in the recipient’s clinical record as documentation that these rights and responsibilities were reviewed at intake.