Improving People's Lives

Paitient’s Right

As the patient, you have the right to:

  1. Expect and receive quality, considerate, respectful and compassionate care.
  2. Reasonable access to appropriate medical care.
  3. Be fully informed about your illness, possible treatment, benefits and risks of treatment, reasonable alternatives, and likely outcomes.
  4. Receive information about continuing health care needs and discharge plans.
  5. Receive information about your medical treatment in language and terms that you understand.
  6. Consent or refuse medical treatment as permitted by law and to be informed of the consequences of your actions.
  7. Exercise your rights without being subjected to discrimination or retaliation on the basis of race, color, national origin, religion, pregnancy, sex, sexual orientation, gender identity, age or disability.
  8. Change your mind about any procedure or treatment to which you have consented.
  9. Refuse to sign a consent form if there is anything you do not understand.
  10. Patient privacy in regards to consultation, examination, treatment or surgery.
  11. Request a second opinion or to change physicians.
  12. Be involved in all aspects of your care and to be allowed to participate in that care.
  13. Know the names and roles of those who provide you care and to be informed of any persons other than routine personnel that would be observing or participating in your treatment and to refuse that observation and or participation
  14. Ask for information about any policy, procedure, or any aspect of your care.
  15. Know in advance the estimated amount of your bill; and to examine and/or receive an explanation of your bill, regardless of the source of payment.
  16. Information about Advance Medical Directives such as a Living Will or Durable Power of Attorney for Health Care, that would allow you to make your own health care decisions for the future and to choose a representative to make health care decisions if you are not able to do so. The provision of care is not conditioned on your having or not having an Advance Medical Directive. Please be advised, however, that it is the policy of Ascendant Outpatient Surgery Center NOT to honor Advance Directives or Do Not Resuscitate.
  17. Information about any research activities involved in your treatment including benefits and risks, procedures involved, and alternatives. You can refuse to participate in any research activities or stop participating at any time.
  18. Be informed by a physician or designee of the continuing healthcare requirements after discharge. To include the right to information concerning the facility to which you may have to be treansferred, if applicable.
  19. Know how complaints are handled, and to file a complaint without discrimination or fear of reprisal.
  20. You have the right to be free from all forms of abuse including mistreatment, exploitation, neglect, verbal, mental, sexual or physical; and harassment.
  21. Freedom from physical or chemical restraint and seclusion.
  22. Practice your particular faith tradition as accommodations allow.
  23. Know that your physicians may have ownership in Ascendant Outpatient Surgery Center.
  24. Appropriate and effective pain management.
  25. Access or receive an accounting of and/or disclosure of personal health information.
  26. Carry out your rights to be free from bullying, discrimination, coercion, reprisal or retaliation, or break in care.

The patient has the responsibility to:

You may contact:
Marcy Grow-Dorman R.N., ASC Director

Complaints against the Surgery Center should be directed to:

The Joint Commission
Office for Patient Safety and Quality
One Renaissance Boulevard
Oakbrook Terrace, IL 60181

Fax:  (630)-792-5636

Indiana State Department of Health
2 North Meridian Street, 4B
Indianapolis, IN 46204


The Office of the Medicare Ombudsman's (OMO) 

U.S. Department of Health and Human Services Office for Civil Rights Centralized Case Management Operations
200 Independence Ave., S.W.
Suite 515F, HHH Building
Washington, D.C.  20201
Customer  Response Center:  (800) 368-1019
Fax:  (202) 619-3818
TDD: (800) 537-7697
Email:  -  or direct to complaint portal  -

Midwest Region U.S. Department of Health and Human Services Office for Civil Rights
233. N. Michigan Ave.
Suite 240
Chicago, IL 60601
Contact Numbers are Same as Above

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