Patient Rights & Responsibilities
This notice describes your rights and responsibilities concerning your medical care. Please review it carefully and let us know if you have questions. Except where medically contraindicated, these rights apply to all adults, children, and adolescents treated by Valley Mobile Services and their parents and/or guardians.
Each Patient has the right:
- To access medical care.
- To have access to an interpreter.
- To be treated with respect, consideration, and dignity.
- To receive a written statement of his/her rights and responsibilities as a patient.
- To know the identity and professional status of his/her caregivers.
- To receive an informed consent prior to the procedure, or to refuse treatment.
- To privacy and security.
- To understand disclosures and records are treated confidentially, and to approve or refuse their release, except when release is required by law.
- To participate in his/her health care decisions.
- To consent to or refuse to participate in research or educational projects.
- To receive truthful information regarding his/her illness along with knowledge of the benefits and risks of each alternative treatment.
- To understand provisions for after-hours and emergency care.
- To understand the fees for services and payment policies, and to request an itemized bill.
- To receive information regarding methods for expressing suggestions or grievances to the organization.
- To request a different anesthesia provider.
Patients are responsible for:
- Keeping appointments or notifying the healthcare provider when unable to do so.
- Reporting complete and accurate information about matters relating to their health, including prescription medications, over-the-counter medications and dietary supplements, and any allergies or sensitivities.
- Reporting whether they understand the proposed treatment and what is expected of them.
- Following instructions of agreed upon treatment plans.
- The consequences of their actions if they refuse treatment or do not follow instructions.
- Providing a responsible adult to transport him/her home from the facility and remain with him/her for 24 hours, if required by his/her provider.
- Assuring that financial obligations for their healthcare are fulfilled.
- Being considerate of the rights of other patients and personnel.
- Being respectful of the property of Valley Mobile Services.
Potential Conflict of Rights
Where any person raises a concern that remains unresolved regarding a divergence of opinion regarding the rights or treatment of a child, or adolescent patient and the rights of their parents and/or guardians, the Valley Mobile Services shall consult with the Arizona Department of Child Protective Services to ensure that the minor’s rights are protected.
How to File a Complaint or Grievance
Any patient or patient’s representative that has a concern with Valley Mobile Services may submit a written request for resolution to:
Valley Mobile Services
1850 N. Central Avenue
Phoenix, AZ 85004