One Stop Medical Supplies, Inc.

Patient's Bill of Rights and Responsibilities

As a patient you have the right to:
  1. Be treated with dignity and respect.
  2. Be informed about the services/products to be rendered to you.
  3. Participate in the development and revision of your Plan of Care which will be individualized to meet your needs.
  4. Be given appropriate and professional quality without discrimination against your race, creed, color, religion, sex, national origin, sexual preference, handicap or age.
  5. Be given proper identification by name and title of everyone who provide services to you.
  6. Be given information concerning aspects of your condition as they relate to the care provided.
  7. Be given data privacy and confidentiality.
  8. Have access to and review your clinical record at your written request.
  9. Refuse treatment after being fully informed of the consequences of such actions.
  10. Be given information at the time of admission of the charges for services and policy concerning payment for services including insurance coverage and any other methods of payment.

As a patient you have the responsibility to:
  1. Give accurate and complete health information concerning your past medical history, medications, allergies, and other pertinent information.
  2. Maintain a safe environment ad use and maintain equipment/supplies as instructed.
  3. Inform the company when you will not be home for deliveries.
  4. Participate in the development and revision of your Plan of Care.
  5. Adhere to your Plan of Care.
  6. Contact the company if you are admitted to the hospital.
  7. Request further information concerning anything you do not understand.

I understand that at any time I may contact my physician or go to the hospital if I feel appropriate. I have been informed of and understand my Bill of Rights and Responsibilities.