Patient Responsibilities
PATIENT RESPONSIBILITES
As a home healthcare patient, you have the responsibilities to:
1. Give accurate and complete health information concerning you past illnesses, hospitalization, medications, allergies, infections, diseases and other pertinent items.
2. Assist in developing and maintaining a safe environment.
3. Inform Franck's Infusion Pharmacy when you will not be able to keep a homecare visit.
4. Participate in the development of and adhere to your homecare plan of service/treatment.
5. Request further information concerning anything you do not understand.
6. Contact your doctor whenever you notice any change in your condition.
7. Contact Franck's Infusion Pharmacy whenever you have an equipment problem or change doctors.
8. Contact Franck's Infusion Pharmacy if you discontinue use of any equipment, medications or supplies.
9. Contact Franck's Infusion Pharmacy whenever you have received a change in your homecare prescription.
10. Contact Franck's Infusion Pharmacy whenever you are to be hospitalized or receive services from a home health agency pursuant to a Medicare plan of care or spend any time in a skilled nursing facility.
11. Give information regarding concerns and problems you have to Franck's Infusion Pharmacy.
12. Ensure that the financial obligation for your equipment, medications and supplies is fulfilled promptly.
13. Maintain and repair purchased equipment when equipment is no longer under warranty.
14. Follow equipment care procedures as outlined on equipment orientation form.
If you feel that Franck's Infusion Pharmacy has not respected your rights, we ask that you contact our Grievance Manager at (352) 622-4148 ext. 232. It is the Grievance Manager's responsibility to review all written complaints and you will be entitled to a written response. If you do not feel you have received satisfactory resolution, you may contact CHAP at (800) 656-9656 ext.242. I have reviewed and understand the Patient's Bill of Rights and my Patient Responsibilities.
