Patient and Provider
Bill of Rights and Responsibilities

As a patient, you have the right, consistent with law, to:

‍(1) Receive service(s) without regard to age, race, color, sexual orientation, religion, marital status, sex, gender identity, national origin or sponsor;

(2) Be treated with consideration, respect and dignity including privacy in treatment;

(3) Be informed of the services available through Qurate Medical Group;

(4) Be informed of the provisions for off-hour emergency coverage, as applicable;

(5) Be informed of and receive an estimate of the charges for services, view a list of the health plans and the hospitals that Qurate Medical Group participates with, as applicable; eligibility for third-party reimbursements, as applicable, and, when applicable, the availability of free or reduced cost care;

(6) Receive an itemized copy of his/her account statement, upon request;

(7) Obtain from his/her health care practitioner, or the health care practitioner’s delegate, complete and current information concerning his/her diagnosis, treatment and prognosis in terms the patient can be reasonably expected to understand;

(8) Receive from his/her health care practitioner information necessary to give informed consent prior to the start of any treatment. An informed consent shall include, as a minimum, the provision of information concerning the specific treatment, the reasonably foreseeable risks involved, and alternatives for care or treatment, if any, as a reasonable medical practitioner under similar circumstances would disclose in a manner permitting the patient to make a knowledgeable decision;

(9) Refuse treatment to the extent permitted by law and to be fully informed of the medical consequences of his/her action;

(10) Refuse to participate in experimental research;

(11) Voice grievances and recommend changes in policies and services to Qurate Medical Group’s staff, the operator and the relevant professional licensing board or regulatory entity without fear of reprisal;

(12) Express complaints about the care and services provided and to have Qurate Medical Group investigate such complaints. Qurate Medical Group is responsible for providing the patient or his/her designee with a written response within 30 days if requested by the patient indicating the findings of the investigation. Qurate Medical Group is also responsible for notifying the patient or his/her designee that if the patient is not satisfied by Qurate Medical Group’s response, the patient may complain to the relevant state licensing authority;

(13) Privacy and confidentiality of all information and records pertaining to the patient’s treatment;

(14) Approve or refuse the release or disclosure of the contents of his/her medical record to any health-care practitioner and/or health-care facility except as required by law or third-party payment contract;

(15) Access to his/her medical record per state and federal law;

(16) View a list of the health plans and the hospitals that Qurate Medical Group participates with, if applicable; and

(17) Receive an estimate of the amount that you will be billed after services are rendered.

As a patient, you have the responsibility to:

1. Treat all Qurate Medical Group providers and staff with consideration, respect and dignity in all interactions.
2. Keep appointments and notify the practice 24 hours prior, if unable to keep scheduled appointment.
3. Be involved and follow the plan of care as provided to you by your provider.
4. Provide a complete medical history, medications and other matters relating to your health.  Inform the provider of any changes in your health condition.
5. Provide a copy of your Medical Advance Directive and/or Medical Power of Attorney (if applicable and in effect) to the practice.
6. Ask questions about specific problems and request information when not understanding your illness or treatment.
7. Accept results or consequences if you refuse treatment, do not follow the provider’s recommendations or leave the care of the practice and its providers against medical advice.

Qurate Medical Group providers and staff have the right, to:

(1) Be treated with consideration, respect and dignity when interacting with any current, former or prospective patient.

(2) Be provided with a safe working environment, free from all forms of abuse, neglect, harassment, discrimination and/or exploitation.

(2) Be provided with advance notice of any cancellations or rescheduling of any appointments.

(3) Request proof of age, identity, or location of any patient at any time, as it relates to the provision of care.

(4)  Practice within the scope of their professional license or certification, as applicable.

(5) Use and disclose Protected Health Information (“PHI”) and personal information in accordance with the Practice’s Notice of Privacy Practices and any applicable Privacy Policy.

(6) To terminate any patient for violations of this Bill of Rights or the Terms of Service, as agreed to by the patient.