As a patient, you are responsible for:
- Providing, to the best of your knowledge, accurate and complete information about your present health status and past medical history and reporting any unexpected changes to the appropriate practitioner(s).
- Following the treatment plan recommended by the primary practitioner involved in your case.
- Providing an adult to transport you home after surgery and an adult to be responsible for you at home for the first 24 hours after surgery.
- Indicating whether you clearly understand a contemplated course of action and what is expected of you and ask questions when you need further information.
- Your actions if you refuse treatment, leave the facility against the advice of the practitioner, and/or do not follow the practitioner’s instructions relating to your care.
- Ensuring that the financial obligations of your healthcare are fulfilled as expediently as possible.
- Providing information about and/or copies of power of attorney, or other directive that you may desire us to know about.
As a patient, you have the right to:
- Considerate, respectful care at all times and under all circumstances with recognition of your personal dignity.
- Personal and informational privacy.
- Confidentiality of records and disclosures. Except when required by law, you have the right to approve or refuse the release of records.
- Information concerning your diagnosis, treatment, and prognosis, to the degree known.
- The opportunity to participate in decisions involving your healthcare.
- Competent, caring healthcare providers who act as your advocates.
- Know the identity and professional status of individuals providing service.
- Adequate education regarding self-care at home written in language you can understand.
- Make informed decisions about medical care, including the right to accept or refuse medical or surgical treatment.
- Information concerning the surgery center’s policy on any advanced medical directives.
- Impartial access to treatment regardless of race, color, sex, national origin, religion, handicap, or disability.
- Receive an itemized bill for all services.
- Report any comments concerning the quality of services provided to you during the time spent at the facility and receive fair follow-up on your comments.
- Know about the business relationship between this facility, and its owners, Scott Corin, MD and Marc Wladis, MD.
- Understand that this facility does not honor Advanced Medical Directives (a living will). All patients in life threatening situations will have life sustained at this facility and be transferred to:
- File a complaint without retaliation from the surgery center or any of the agencies listed below:
- St. Luke’s Hospital
101 Page Street
New Bedford, MA 02740
- June Jackson, ASC Administrator
Advanced Eye Surgery Center
500 Faunce Corner Road, Suite 180
No. Dartmouth, MA 02747
508.717.0568
- Massachusetts Department of Public Health
250 Washington Street
Boston, MA 02108
617.624.6001
www.mass.gov/dph
- Centers for Medicare and Medicaid
7500 Security Boulevard
Baltimore, MD 21244
800.633.4227
www.medicare.gov


Surgery Center Info





