Patient Rights and Responsibilities

PATIENT RIGHTS AND RESPONSIBILITIES

Section 381.026, Florida Statutes, addresses the Patient's Bill of Rights and Responsibilities. The purpose of this section is to promote the interests and well being of patients and to promote better communication between the patient and the health care provider. Florida law requires that your health care provider or health care facility recognize your rights while you are receiving medical care and that you respect the health care provider's or health care facility's right to expect certain behavior on the part of patients. You may request a copy of the full text of this law from your health care provider or health care facility. A summary of your rights and responsibilities follows.

As a member of our medical home, you are entitled to:.

Dignity and Respect:

• To be treated with compassion, courtesy, and respect for your individual dignity and privacy at all times.
• To know what rule and regulations apply to your conduct.
• To know how to express complaints regarding any violation of your rights.

Transparency in Care:

• To know the names and roles of the healthcare professionals providing your services and who is primarily responsible for your care.
• To know that patient support services are available.

Clear Communication: To receive a prompt response to your inquiries and to have access to interpreter services if English is not your primary language.

Informed Decision-Making: To receive clear information regarding your (or your child’s) diagnosis, proposed treatment plan, alternatives, potential risks, and expected outcomes.

The Right to Refuse: To decline any treatment or clinical recommendation to the extent permitted by law.

Accompaniment:To bring a person of your choosing into patient-accessible areas for support during treatment, provided it does not compromise safety, health, or facility operations.

Choice of Provider: To request a change in your healthcare provider if other qualified clinicians within our practice are available.

Financial Clarity:

• Be given full information and necessary counseling on the availability of known financial resources for care.
• Receive, prior to treatment, a reasonable estimate of charges for medical care.
• Receive a copy of an understandable itemized bill and, if requested, to have the charges explained.
• Know whether the health care provider or facility accepts the Medicare assignment rate, if the patient is covered by Medicare.

Equal Access: To receive impartial medical care regardless of race, religion, national origin, disability, or source of payment.

Emergency Care: To receive necessary treatment for any emergency medical condition that requires immediate intervention.

YOUR RESPONSIBILITIES:

To ensure the best possible health outcomes for your child, we ask that you:

Provide Full Information:

• -Share accurate and complete details regarding current symptoms, past illnesses, medications, hospitalizations, and other health-related matters.
• Report unexpected changes in his or her condition to the health care provider.

Be Active in Treatment: Inform your provider if you do not fully understand the proposed plan of care or what is expected of you.

Follow the Care Plan: Adhere to the treatment strategies and instructions recommended by your healthcare team.

Respect Appointments: Arrive on time for scheduled visits or notify our office as soon as possible if you are running late or need to cancel.

Own Your Choices: Accept responsibility for the medical outcomes if you choose to refuse treatment or deviate from the provider’s instructions.

Maintain Financial Obligations: Ensure that financial responsibilities for your healthcare services are met promptly.

Follow Practice Guidelines: Observe the rules and regulations regarding conduct while at any Angel Kids Pediatrics facility.

Feedback & Grievances

Your voice helps us improve. If your experience does not meet your expectations:

On-Site Resolution: Please speak with the Office Manager at your specific location to address concerns immediately.

Formal Review:You may submit a written grievance via email toCustomerService@myangelkids.com or mail at Angel Kids PA | 2465 St. John’s Bluff Road, Jacksonville, FL 32246 or call 904-224-5437

Every concern is documented, reviewed, and addressed by our leadership team.

Consumer Assistance Notice

(Posted in compliance with s. 641.511 (8), Florida Statues and the Patient’s Bill of Rights)

Patient grievances may also be filed with the following government agencies:

Florida AHCA
Agency for Health Care Administration Consumer Hotline
2727 Mahan Drive, Ft. Knox, Suite 339
Tallahassee, Florida 32308
(888) 419-3456
8:00 am - 5:00 EST

Florida Department of Financial Services
Office of Insurance Regulation
(800)342-2762
Larson Building, 200 E. Gaines Street
Tallahassee, FL 32399-0300
8:00 am - 5:00 EST

Statewide Provider and Subscriber Assistance Program
2727 Mahan Drive, Ft. Knox, #1, Mail Stop 26
Tallahassee, Florida 32308
(888)419-3456
(850)413-0900 (Fax)
sap@ahca.myflorida.com