PATIENT RIGHTS AND RESPONSIBILITIES
A PATIENT HAS THE RIGHT TO:
- Receive all necessary dental care that is available from our office or receive a referral to another provider.
- Considerate, courteous, quality care with respect for personal privacy and human dignity.
- Information concerning his/her diagnosis, treatment, and prognosis (i.e., clear concise communication from our staff, an estimate of financial responsibility, access to his/her medical records in compliance with the law).
- Involvement in the decision-making process concerning his/her treatment (i.e., giving informed consent prior to treatment, having alternatives discussed, the right to refuse treatment to the extent permitted by law).
- Confidentiality of information concerning one’s treatment.
- Information regarding advanced directives (as required by state or federal law and regulations).
- Change his/her provider if other qualified providers are available.
- File a grievance and be given due process.
If you are unable to resolve the issue with the Practice Manager, you may send a written grievance to:
Woodlake Orthodontics (Attn: QA Coordinator)
3030 Centre Pointe Drive, Suite 100
Roseville, MN 55113
A PATIENT HAS THE RESPONSIBILITY TO:
- Comply with prescribed dental instructions from our office.
- Provide complete and accurate, past and present personal information, to the best of his/her ability about his/her health, any medications, including over-the-counter products and dietary supplements, and any allergies or sensitivities.
- Keep appointments for care and give required 24 hours notice to our office with appointment changes.
- Maintain his/her health and participate in the decisions concerning treatment.
- Ask questions of the provider if he/she does not understand.
- Make payments due for services received according to established terms.
- Be respectful of all the health care providers and staff, as well as other patients.
- Inform his/her provider about any living will; medical power of attorney, and or other directive that could affect his/her care.