Patient Information

Patient Bill of Rights

Patient Responsibility

Notice of Privacy Practices


Patient Bill of Rights

All patients/clients in home care possess basic rights and responsibilities, including the right to be informed of their rights before initiation of service. If/when a patient/client has been judged incompetent, the family or guardian may exercise these rights.

As a patient/client of home care, you have the right to:

·         Be treated without regard to race, color, creed, gender, age, gender preference, national origin, handicap, or decision regarding advanced directives.

·         Have you and your property treated with dignity, consideration and respect by agency personnel.

·         Be informed of the extent to which payment for home care services may be expected from Medicare or any sources, the charges not covered by third party payor(s) and any personal responsibility for payment.

·         Receive payment information orally and in writing before care is initiated and within 30 days of the date Healthcare Resources becomes aware of any change.

·         Be informed of and participate in decisions regarding you care, including planning of the care to be provided, the disciplines and the frequency of service. Be advised in advance of any change in the plan of care.

·         Be advised in advance of the ownership and/or control of Healthcare Resources.

·         Confidentiality of all medical, financial and other information related to your care. We will release no information without written authorization from you or your legal representative.

·         Refuse treatment and to be informed of the possible consequences of your choices.

·         Be informed about advance directives and the Healthcare Resources policy and procedures regarding advance directives.

·         Have you and your family/caregiver taught about your illness and how to provide the treatment/care you require in order to promote greater independence.

·         Voice grievances regarding your care or lack of respect for your property without fear of discrimination or reprisals and to have these grievances investigated and responded to.

·         Have access to or receive a copy of your clinical record upon request.

·         Receive timely prior notice of planned transfer or discharge, continuing care requirements, and other services if needed at the time of discharge from Healthcare Resources.




Patient Responsibility

As a patient/client of our organization, you have the responsibility to:

·         Agree to accept all caregivers without regard to race, color, religion, gender, age, gender preference, handicap or national origin.

·         Remain under a doctor's care when required by the program.

·         Provide Healthcare Resources Home Health with all requested insurance and financial information.

·         Provide Healthcare Resources Home Health with a complete and accurate health history.

·         Sign required consents and releases.

·         Take part in planning your care.

·         Accept the consequences, including changes in reimbursement eligibility, for any refusal of treatment or choosing not to follow your plan of care.

·         Provide a safe home environment in which your care can be given.

·         Protect your valuables by storing them carefully in an appropriate manner.

·         Cooperate with your doctor, Healthcare Resources Home Health personnel and other caregivers.

·         Treat Healthcare Resources Home Health personnel with respect and consideration.

·         Let Healthcare Resources Home Health know of any problems or dissatisfactions with care.

·         Notify Healthcare Resources Home Health when unable to keep appointments.

·         Provide a copy of your advance directive if you have one.



Privacy Practices


We are required by federal law to maintain the privacy of your medical information and to give you our Notice of Privacy Practices (this "Notice") that describes our privacy practices, our legal duties and your rights concerning your medical information. 

This is the required privacy Notice of Healthcare Resources Home Health (the "Facility"). This Notice applies to and will be followed by all employees, staff, volunteers and other personnel of the Facility.


Except where such use or disclosure is otherwise prohibited by state or federal law, the Agency is permitted or required to use or disclose your medical information without your authorization (permission) in the following situations  Some, but not all, specific examples of the different types of disclosures have been listed.

Treatment.  To provide you with medical treatment or services (e.g., provide information to doctors, nurses, technicians, students or other personnel who are involved in your care).

Payment.  To collect payment from you, an insurance company or a third party for the treatment and services you receive (e.g., submitting a claim to your insurance company).

Friends and Family.  To a friend or family member involved in your medical care or payment for your care. If you are available, such disclosures will be made only if we have obtained your permission, if you do not object to the disclosure after having the opportunity, or if it is reasonable for us, based on the circumstances, to assume you have no objection to such disclosure. If you are unavailable, incapacitated or in an emergency situation, the Agency may disclose limited information to these persons if the Agency determines disclosure is in your best interest.

Healthcare Providers.  To another healthcare provider involved in your treatment in order for that provider to treat you, bill for its services and conduct certain of its healthcare operations.

Disaster Relief.  To a public or private entity assisting in a disaster relief effort (e.g., to notify your family about your location, condition or death).

Public Health Activities.  To public health authorities for public health activities as permitted or required by law.

Abuse, Neglect and Exploitation.  The Agency may notify the appropriate government authority if it believes you have been the victim of abuse, neglect or exploitation. Unless such disclosure is required by law, the Agency will only make this disclosure if you agree or under other limited circumstances when such disclosure is authorized by law.

Health Safety Risks.  Under certain circumstances, when necessary to prevent a serious threat to your health and safety or to the health and safety of the public or another person.

Legal Proceedings.  If you are involved in a lawsuit or dispute, in response to a court or administrative order. The Agency may also disclose medical information about you in response to a subpoena or other lawful process by someone else involved in the dispute, but only if the party seeking the information demonstrates that reasonable efforts have been made to notify you of the request or to obtain a protective order from the court.

Law Enforcement.  To law enforcement authorities for law enforcement purposes. The Agency must comply with federal and state laws in making such disclosures.

Deceased Individuals.  To a coroner or medical examiner as necessary to carry out their duties (e.g., to identify a deceased person or determine the cause of death), or to funeral directors as authorized by law.

Required by Law.  When required to do so by federal, state or local law (e.g., to report child or dependent adult abuse).

Incidental Disclosures.  Occasional incidental, unintended disclosures of your medical information which might occur during a permitted use or disclosure (e.g., information overheard during a discussion regarding your care with you or a member of your family). We will take reasonable steps to avoid these types of disclosures.

Business Associates.  Some of the activities described above are performed through contracts with outside persons or organizations, such as legal services. It may be necessary for the Agency to provide some of your medical information to outside business associates who assist the Agency with these activities. The Agency requires that its business associates appropriately safeguard the privacy of your information.

You and Your Authorization.  The Agency must also disclose your medical information to you, as described later in this Notice. Uses and disclosures of medical information not covered by this Notice or the laws that apply to us will be made only with your written permission. If you give us permission to use or disclose medical information about you, you may revoke (take back) that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons set forth in your written authorization. We are unable to take back any disclosures we have already made with your permission.


Access to Medical Information.  You may request to inspect and copy much of the medical information we maintain about you, with some exceptions.  We may charge a fee for the costs of copying, mailing and other supplies associated with your request.

Request for Restrictions.  You have the right to request a restriction on how we use or disclose your medical information for treatment, payment, or healthcare operations, or to certain family members or friends identified by you who are involved in your care or the payment for your care.  We are not required to agree to your request, but will notify you if we are unable to agree.

Amendment.  You may request that we amend certain portions of your medical information if you believe that it is incorrect or incomplete. We may require you to give a reason to support your request. We are not required to make all requested amendments, but we will give each request careful consideration. If we deny your request, we will provide you with a written explanation of the reasons and your rights.

Confidential Communications.  You have the right to request that we communicate with you about medical matters in a different manner or at a different place. We will agree to your request if it is reasonable, and you specify an alternative means or location to contact you.

Paper Notice.  You will be provided upon initial of care and are entitled to receive an additional written copy of the Privacy Notice at any time.

How to Exercise These Rights.  All requests to exercise these rights must be in writing. We will follow written policies to handle requests, and we will notify you of our decision or actions and your rights. Contact the Privacy Officer at the contact information at the end of this Notice for more information or to obtain request forms.

Complaints.  If you believe your privacy rights have been violated, you may file a complaint with the Agency using the contact information at the end of this Notice. All complaints must be submitted in writing. You will not be penalized or retaliated against for filing a complaint.

Questions.  If you have questions about this Notice, please contact the Privacy Officer at the telephone number listed below.


The Agency is required to abide by the terms of the Notice currently in effect. The Agency reserves the right to change the terms of this Notice and make the new Notice provisions effective for all of your medical information that it maintains, including that which it created or received while the prior Notice was in effect. If the Agency makes a material change to its privacy practices, it will amend its Notice. We will post a copy of the current Notice on the website. The Notice will state the effective date. 


PRIVACY OFFICER:  Healthcare Resources Home Health

                                Phone: (817) 633-2273

EFFECTIVE DATE:    January 1, 2006


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