Horizon Bridge
Patient Rights & Responsibilities
THIS NOTICE DESCRIBES YOUR RIGHTS AND RESPONSIBILITIES BEFORE RECEIVING MEDICAL TREATMENT AND SERVICES. PLEASE REVIEW IT CAREFULLY.
Horizon Bridge (“Horizon Bridge,” “we,” “us”) is committed to providing care that protects and respects your rights in accordance with applicable laws and regulations. This Patient Rights & Responsibilities Notice describes the rights of the Patient, including their parent, legal guardian, or authorized representative, before receiving services and prior to termination of care. It is available upon request at all Horizon Bridge locations and on our Website.
I. Patient Rights
You have the right to:
- Receive clear and informed information regarding the medical treatment and services to be provided.
- Provide consent before receiving services and to be informed of the nature, purpose, risks, and expected benefits of proposed care.
- Participate in development, implementation, and ongoing evaluation of the individualized plan of care, including input from parents or legal guardians, and to request a review of the plan with clinical staff.
- Have your confidential medical information protected and accessed only as permitted by applicable privacy laws.
- Accept or refuse treatment to the extent allowed by law, and be informed of the consequences of refusing recommended services.
- Be treated with respect and dignity, including consideration of psychosocial, cultural, and spiritual values.
- Receive services and treatment in a safe environment, free from abuse, harassment, or neglect.
- Be free from restraints that are not medically necessary and not used as a means of coercion, discipline, or convenience.
- Recommend or provide feedback regarding the treatment and services received.
- Be informed of charges, payment responsibilities, and to request a written statement of charges according to Horizon Bridge’s Financial Policy.
- Be informed about and refuse participation in any research or educational study affecting medical care.
- Request a transfer to another setting if needs exceed the clinic’s capacity, with assistance from Horizon Bridge when appropriate.
- Exercise these rights to the extent permitted by law, even if adjudicated incompetent or otherwise unable to communicate preferences.
II. Patient Responsibilities
You are responsible for:
- Providing accurate and complete information about the Patient’s health history, medications, and other relevant personal and medical information to the best of your knowledge.
- Reporting changes in medical condition or circumstances that may affect treatment.
- Advising Horizon Bridge of changes in insurance coverage or authorization requirements.
- Understanding the plan of care and following recommended treatments.
- Providing appropriate notice of planned and unplanned absences as outlined in clinic policies.
- Fulfilling financial obligations according to Horizon Bridge’s Financial Policy and Agreement.
- Complying with facility rules and regulations.
- Respecting the rights and property of other Patients, staff, and visitors.
III. How to Submit a Complaint or Grievance
If you believe your rights have been violated or you disagree with the care or services received, contact our Patient Rights Representative using the contact information below. Complaints may be submitted in person, by mail, email, or phone.
Horizon Bridge Compliance/Patient Rights Team
Email: info@horizonbridgeaba.com
Phone: 612-499-4697
You may also file a complaint with the appropriate state health agency or regulatory body in any state where Horizon Bridge provides services. Filing a complaint will not result in retaliation or affect the care you receive.
