As a patient, you have the right to:  

• Take part in your health care and treatment  

• Know the names of the people caring for you  

• Be treated with respect and dignity in a safe and private setting  

• Be informed about your illness and treatment, including options for your care  

• Change medical providers at Via Care  

• Get another opinion about your illness or treatment  

• Privacy of your health records  

• Talk with the clinic manager about any questions or problems with your care  

• Know about services available through Via Care  

• Respect for your cultural, social, spiritual and personal values and beliefs  

• Know about legal reporting requirements  

• Ask for special arrangements if you have a disability  

• Ask for help with a living will or durable power of attorney for health care  

• Refuse treatment, care and services as allowed by law  

• Know the cost of your care and ways you may pay for your care  

• Refuse to be included in any research program without limiting medical care or treatment  

As a patient, you have the responsibility to:  

• Tell your medical provider about your illness or problems  

• Ask questions about your illness or care  

• Show respect to both care givers and other patients  

• Cancel or reschedule appointments with due notice so that another person may have that time slot  

• Pay your bills on time  

• Use medications or medical devices for yourself only  

• Inform the medical provider if you become worse or have an unexpected reaction to a medication  

• Give written permission to release your health records to Via Care when necessary  

• Provide Via Care a copy of your living will or durable power of attorney for healthcare matters  

If you have any questions, please tell your medical provider or the clinic manager. Contact us by calling (323) 268-9191.