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You Have the Right :
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To a prompt and adequate response to reasonable requests and needs for
treatment or service within Medikaloka’s capacity.
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To prompt life-saving treatment in an emergency without discrimination on
account of economic status or source of payment.
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To considerate and respectful care.
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To accept or refuse to be examined, observed or treated by students or any
other Hospital staff without jeopardizing access to psychiatric, psychological
or other medical care or attention.
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To provide or receive assistance to execute a Health Care Proxy pursuant to
law.
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To informed consent to the extent provided by law.
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Upon request, to obtain from Medikaloka the name and specialty, if any, of the
physician or other person responsible for his or her care or the coordination
of such care.
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Upon admission, to information about the clinic's policy regarding patient
rights and responsibilities.
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Upon request, to receive any information which the clinic has available
relative to financial assistance and free health care.
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Upon request, to obtain an explanation as to the relationship, if any, of the
clinic, or any physician practicing at the clinic, to any other health care
facility or educational institution, insofar as said relationship relates to
the patient's care or treatment.
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To refuse to serve as a research subject or to refuse to accept any care or
examination when the primary purpose is educational or informational rather
than therapeutic.
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To privacy during medical treatment or other rendering of care within the
clinic's capacity.
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To confidentiality of records and communications, as prescribed by law.
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Upon request, to inspect his or her medical record and to receive a copy
thereof, as prescribed by law.
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Upon request, to receive a copy of any itemized clinic bill or other statement
of charges submitted to a third party for the patient's care.
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To appropriate assessment and management of pain.
You Have Responsibility :
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To keep appointments, or telephone Medikaloka Clinic when you cannot keep a
scheduled appointment.
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To provide to the best of your knowledge, accurate and complete information
about present complaints, past illnesses, medications, advance directives and
other matters relevant to health or care.
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To inform Medikaloka promptly if you do not understand any matter relating to
your care and treatment or instructions with which you cannot comply.
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To be considerate of other patients and to see that your visitors are
considerate, particularly with reference to noise (visiting regulations have
been established to ensure the rights and comfort of all patients and must be
followed).
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To observe the Medikaloka clinic smoke-free policy.
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To abide by the Medikaloka Clinic rules and regulations.
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To provide Medikaloka Clinic with necessary information regarding coverage of
your hospital charges.
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For your actions if you refuse treatment or do not follow your practitioner's
instructions.
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