Patient’s Bill of Rights and Responsibilities

You have the right:
• To be treated with full respect for your dignity and privacy
• To receive considerate and respectful care
• To understand and give informed consent to your medical treatment
• To refuse care by students or other staff and to refuse to participate in research,
without it affecting your medical care
• To expect that all communications and records pertaining to your care be treated
as confidential
• To expect that, within its capacity, Katahdin Valley Health Center must make
reasonable response to your request for services
• To obtain information as to any relationships Katahdin Valley Health Center has
with other health care and educational institutions
• To expect reasonable continuity of care
• To examine and receive an explanation and itemization of your bill
• To know which Katahdin Valley Health Center rules and regulations apply to your
conduct as a patient

You have the responsibility:
• To communicate concerns, problems or dissatisfactions with management
• To maintain your health and be a wise consumer of health services
• To be honest and forthcoming with your provider
• To comply with prescribed medical treatment or to inform your provider if you
cannot comply
• To inform Katahdin Valley Health Center of changes in your name, address, tele
phone number, accurate billing information, and/or insurance coverage
• To treat Katahdin Valley Health Center staff with full respect and remain in
compliance with Katahdin Valley Health Center’s Safety and Zero Tolerance for
Violence Policies *
• To keep scheduled appointments and notify us if you cannot keep an appointment
• To understand that release of medical information requires written permission
from you

* Copies of referenced policies available upon request.

–Approved by KVHC Board of Directors 12-7-11