Not be unlawfully discriminated against when determining eligibility for service
Request confidential communications- The patient may ask to be contacted in a specific way, or to not leave a message on their answering machine
Information regarding health status, treatment, diagnosis, outcomes, etc.
Review and receive a copy of their medical record. The first record will be issued free of charge, after that there will be a small fee due to administrative costs
Be informed of the rules of patient conduct, including consequences that may result in disciplinary action or dismissal
Request a statement showing fee for services
Give informed consent to be involved in a research study or withdrawal from a study at any time
File a grievance regarding their services/treatment without any retaliation
Choose someone to act for them (medical power of attorney with proper documentation)
Participate in the development of their treatment plan and goals
Seek an alternate provider
Retain a copy of this Bill of Rights
Patients have the responsibility to:
Give correct and complete information
Respect other patient’s privacy
Arrange and attend all scheduled counseling and case management appointments
Inform 2nd Chance if they are on other medications and to inform other service providers they are taking Buprenorphine
