Patient Rights
		•To have access to services without discrimination on the basis age, religion, disability, political affiliation, veteran status, sex, race, color or national origin as stipulated in Title VI of the Civil Rights Act of 1964. •To have my personal dignity recognized and respected without abuse or neglect. •To continue to have legal rights to which all citizens are entitled to the extent permitted by law. •To have continuity of care. •To know the reasons for any proposed change in treatment or for any transfer of care within or external to the organization. •To participate in developing an individualized treatment plan which is reviewed and implemented by a qualified professional treatment team. •To be informed of the cost of services, sources of reimbursement and limitations of services. •To be informed of treatment procedures used; rules for patient conduct; and discharge plans. •To be informed of the risks, side effects and benefits of medications and treatment procedures used, and to be informed of alternate procedures. •To refuse specific medications or treatment procedures to the extent permitted by law. •To be properly informed and consent to the use of observations and audio visual techniques. •To initiate a complaint or grievance procedure. •To be properly informed and consent to any experimentation or other research or educational projects affecting care or treatment. •To have personal privacy and confidentiality of information within the limits of the law and the operational requirements of the Center. •To have access to the information contained in the patient record within the limits of the law and the operational requirements of the Center, unless it is not psychiatrically advisable to do so, in which case the information may be given to my legally authorized representative. Patient Responsibilities •To provide accurate and complete information about my presenting problems, treatment needs and preferences, previous treatment, medical and social history and other matters relating to my appropriate care. •To actively participate in the development of an individualized treatment plan. •To participate in treatment in the manner agreed upon in the treatment plan. •To report changes in my condition, treatment needs or preferences to my treatment team. •To be responsible for my actions if I refuse treatment or do not follow my treatment plan. •To Abide by any specific rules of the programs and treatment modalities in which I may participate. •To reserve use of the Center's emergency line for legitimate emergency situations only. •To be considerate of other patients and staff of the Center and treat each with respect. •To discuss directly with my current team leader if I am displeased with my treatment, wish to transfer to another therapist or be released from treatment. •To keep scheduled appointments and cancel appointments at least 24 hours in advance. In order to prevent the spread of infections at the Center, persons served should consider re-scheduling their appointments when they are physically ill (examples: colds, flu, fevers, etc.). •To contact my insurance carrier for prior approval or to determine if services will be covered. •To make arrangements with the Center Business Office for payment of charges for services. •To pay for services rendered in the manner agreed.