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One Medical Passport

Creating a username and password keeps your account secure. » Learn More Medical Passports are secure, online patient-controlled accounts that provide medical history information.

Actived: 4 days ago

URL: https://www.onemedicalpassport.com/?fid=1102

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(7 days ago) Best number to reach me on a weekday Ok for provider to leave voice messages with instructions or healthcare information - optional

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Deciding about your health care

(2 days ago) measures, regardless of the contents of any advance directive/living will/ health care proxy or instructions from a healthcare agent. . It is the patient’s responsibility to inform their physician and the facility if they have an Advance Directive. It will be explained to the patient that in

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Patient Rights and Responsibilities

(5 days ago) other health care professionals who are providing direct care to the patient • The right to be informed about any continuing health care requirements after his/her discharge from the hospital. The patient shall also have the right to for required follow-up care after discharge. • To …

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MEDICAL Care DECISIONS and ANDANCED Directives

(2 days ago) health treatment is a legal document that tells doctors and health care providers what mental health treatments you would want and what treatments you would not want, if you later become unable to decide for yourself. The designation of a person to make your

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STATEMENT OF PATIENTS RIGHTS & RESPONSIBILITIES

(6 days ago) • The Department of Health’s publication entitled “Appointing Your Health Care Agent—New York State’s Proxy Law,” containing a sample health care proxy form; and • A summary of BSC’s policy regarding the implementation of these rights. • Formulate an advance directive.

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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION …

(5 days ago) tected health information to a coroner or medical examiner for the purpose of identifying a deceased person, determining a cause of death, or other duties as authorized by law. We may disclose protected health information to funeral directors, consistent with applicable law, as necessary to carry out their duties with respect to the decedent.

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YOUR PATIENT’S RIGHTS & RESPONSIBILITIES YOUR SAFETY

(6 days ago) health care, including changing providers if other qualifi ed providers are available, without being subject to discrimination or retaliation. An exception would be when such participation is medically contraindicated To be informed of any persons other than routine personnel that would be observing or participating in the treatment

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THIS NOTICE DESCRIBES HOW HEALTH INFORMATION …

(5 days ago) treatment options, health related information, disease-management programs, wellness programs, or other community based initiatives or activities our facility is participating in. Organized Health Care Arrangement: This facility and its medical staff members have organized and are presenting you this document as a joint notice.

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AMBULATORY SURGERY CENTER PATIENT CONSENT TO …

(2 days ago) ambulatory surgery center patient consent to resuscitative measures not a revocation of advance directives or medical powers of attorney sm091099:615 all patients have the right to participate in their own health care decisions and to make advance directives or to execute powers of attorney that authorize others to make decisions on their behalf based on the

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THIS NOTICE DESCRIBES HOW HEALTH INFORMATION …

(5 days ago) treatment options, health related information, disease-management programs, wellness programs, research projects, or other community based initiatives or activities our facility is participating in. Organized Health Care Arrangement: This facility and its medical staff members have organized and are presenting you this document as a joint notice.

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AMBULATORY SURGERY CENTER PATIENT CONSENT TO …

(2 days ago) advance health care directive, a living will, a power of attorney that authorizes someone to make health care decisions for you? yes, i have an advance directive, living will or health care power of attorney. no, i do not have an advance directive, living will or health care power of attorney. i would like to have information on advance directives.

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MCASCFW-118 Patient Notification of Data Collection copy

(6 days ago) texas department of state health services kirk cole interim commissioner p.o. box 149347 austin, texas 78714-9347 1-888-963-7111 tty: 1-800-735-2989 www.dshs.state.tx.us patient notification of …

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Welcome to the Inova Loudoun Ambulatory Surgery Center. …

(3 days ago) Loudoun Hospital and by local health care providers, one of whom may be your physician. The purpose of this notice is to advise you of this financial relationship and of your right to choose an alternative location for your procedure. If desired, please contact your surgeon to obtain a list of alternative surgical sites where he or she may have

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PATIENT CONSENT TO RESUSCITATIVE MEASURES

(2 days ago) health care power of attorney. your agreement with this policy does not revoke or invalidate any current health care directive or health care power of attorney. if you do not agree to this policy, we are pleased to assist you to reschedule the procedure.

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Surgical Care Affiliates Patient Rights and Responsibilities

(6 days ago) patient health matters. • Promptly fulfilling your financial obligations to the center, including charges not covered by insurance. • Payment to center for copies of the medical records you may request. • Informing your providers about any living will, medical power of attorney, or …

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Seashore Surgical Institute

(6 days ago) health care provider. XXII. A patient is responsible for keeping appointments and, when he or she is unable to do so for any reason, for notifying the health care provider or health care facility. XXIII. A patient is responsible for his or her actions if he or she refuses treatment or does not follow the health care provider’s instructions. XXIV.

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MIDTOWN AMBULATORY SURGERY CENTER PATIENT …

(2 days ago) health care power of attorney. your agreement with this policy by your signature below does not revoke or invalidate any current health care directive or health care power of attorney. if you do not agree to this policy, we are pleased to assist you to reschedule the procedure. please check the appropriate box in answer to these questions.

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Surgery Center Rules In 1990, Congress passed a federal

(2 days ago) revoke or invalidate any current health care directive or health care power of attorney. if you do not agree to this policy, we are pleased to assist you to reschedule the procedure. please check the appropriate box in answer to these questions. h ave you executed an advance health care directive, a living will, or a healthcare power of

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What is an Advance Directive2

(2 days ago) Health Care Decisions Law presents a model form entitled "Advance Health Care Directive" that serves as both a power of attorney and an individual health care instruction [Cal. Probate Code §4701]. An Advance Health Care Directive is the best way to make sure that your health care wishes are

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SUMMARY OF THE FLORIDA PATIENT’S BILL OF RIGHTS AND

(6 days ago) provider or health facility accepts the Medicare assignment rate. A patient has the right to receive, upon request, prior to treatment, a reasonable estimate of charges for medical care. A patient has the right to receive a copy of a reasonably clear and understandable, itemized bill and, upon request, to …

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PATIENT RIGHTS AND RESPONSABILITIES

(6 days ago) Agency for Health Care Administration Consumer Assistance Unit 2727 Mahan Drive – Building 1 Tallahassee, FL 32308 If you have a complaint against a health care professional and want to receive a complaint form, call Consumer Services Unit at 1-888-419-3456 (press 2) or write the address below: Department of Health Consumer Services Unit

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Patient Rights and Responsibilities 11

(6 days ago) under applicable State health and safety laws by a court of proper jurisdiction. If a State court has not adjudged a patient incompetent, any legal representative designated by the patient in accordance with State law may exercise the patient’s rights to the extent allowed by State law. Refuse treatment to extent permitted by law and be

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TALLAHASSEE OUTPATIENT SURGERY CENTER

(6 days ago) health. A patient is responsible for keeping appointments and, when he or she is unable to do so for any reason, for notifying the health care provider or health care facility. A patient is responsible for his or her actions if he or she refuses treatment or does not follow the health care provider’s instructions.

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A Guide to Advance Directive (Living Wills)

(1 days ago) that instructs health care provider about your medical choices, including treatments you do or do not wish to receive. Proxy directive or durable power of attorney is a document which you name another person (proxy) to make health care decisions for you. Combined directive includes instructions about

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Ambulatory Surgery Center of Tampa

(2 days ago) health care power of attorney. your agreement with this policy by your signature below does not revoke or invalidate any current health care directive or health care power of attorney. if you do not agree to this policy, we are pleased to assist you to reschedule the procedure. please check the appropriate box in answer to these questions.

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THE FOLLOWING NOTICE DESCRIBES HOW YOUR MEDICAL

(5 days ago) or health care operations regarding services for which you have paid in full out of pocket. • Your confidential healthcare information may be released to public or law enforcement officials in the event of an investigation in which you are a victim of abuse, a crime or

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Surgical Care Affiliates Patient Rights and Responsibilities

(6 days ago) patient health matters. • Promptly fulfilling your financial obligations to the center, including charges not covered by insurance. • Payment to center for copies of the medical records you may request. • Informing your providers about any living will, medical power of

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TH4405 PrivacyPracticesMapStyle Brochure

(6 days ago) share health information about you in order to coordinate the different things you need, such as prescriptions, lab tests and x-rays. We also may disclose health information about you to people outside Tower Health who may be involved in your medical care after you leave a Tower Health-affiliated hospital, such as family

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AMBULATORY SURGERY CENTER PATIENT CONSENT TO

(2 days ago) All patients have the right to participate in their own health care decisions and to make Advance Directives or to execute Powers of Attorney that authorize others to make decisions on their behalf based on the patient’s expressed wishes when the patient is unable to make decisions or unable to communicate decisions. This surgery center

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ADVANCE DIRECTIVE NOTIFICATION

(2 days ago) health care decisions and to make Advance Directives or to execute Powers of Attorney that authorize others to make decisions on their behalf based on the patient’s expressed wishes when the patient is unable to make decisions or unable to communicate decisions. New Mexico Orthopaedics Surgery Center respects and upholds those rights.

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Seashore Surgical Institute

(2 days ago) Health Care Proxy is a legal document in which an individual designates another person to make health-care decisions if he or she is rendered incapable of making their wishes known. The health-care proxy has, in essence, the same rights to request or refuse treatment that the individual would have if capable of making and communicating decisions.

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VISITATION RIGHTS

(6 days ago) other health care professionals who are providing direct care to the patient • The right to be informed about any continuing health care requirements after his/her discharge from the surgery center, and each patient will be provided with written discharge instructions and when necessary, overnight supplies.

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SEASHORE SURGICAL INSTITUTE PATIENT DISCLOSURE FORM

(3 days ago) alternative health care service providers can be found in the classified section of your telephone directory under the appropriate heading. Please take notice that the Facility bills under Virtua Health System’s insurance contracts and is considered in network with any contract Virtua Health System participates.

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PATIENT RIGHTS

(6 days ago) phone number. In addition, you may contact Texas Dept. of State Health Services at 888-973-0022 or by mail at P.O.BOX 149347 Austin TX, 78714 or the Medicare Ombudsman Office at www.medicare.com Signature Date Printed Name Revised 3/12/2014

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NOTICE OF PRIVACY PRACTICES

(5 days ago) health insurance plan may undertake before it approves or pays for thehealthcare services we recommend for you, such as making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessity and undertaking utilization review activities.

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THE CENTER FOR OUTPATIENT MEDICINE, LLC

(6 days ago) Methods for expressing grievance , Procedure for reporting health concerns . Complaints, or suggestions to the facility: to the appropriate authorities at: Contact Sarah Gardner at (309)662-6120 ext 207 Illinois Department of Public Health . or [email protected] Division of Health Care Facilities and Programs

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ADVANCED DIRECTIVES INFORMATION FOR PATIENTS

(2 days ago) Department of Health website . www.aging.state.pa.us or the Office of the Aging thru the Pennsylvania Department of Health. A copy of the brochure “Understanding Advanced Directives for Health Care, Living Wills and Power of Attorney in Pennsylvania” is available at the facility.

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ATLANTIS OUTPATIENT CENTER 561-964-3966

(2 days ago) In the state of Florida, all patients have the right to participate in their own health care decisions and to make Advance Directives or to execute Power of Attorney that authorize others to make decisions on their behalf based on the patient’s expressed wishes when the patient is unable to make decisions or unable to communicate decisions.

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Memorial Hermann Surgery Center Katy Freeway, 200 3200

(2 days ago) Health Department Health Facility Compliance 1000 W. 49 th Street Austin, TX 78756 (512) 834 r6650 OR State of Texas, CMS Regional Office 1301 Young Street, Room 833 Dallas, TX 75202 (214) 767 r6301 Medicare beneficiaries may receive information regarding

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SUGAR LAND SURGERY CENTER PATIENT CONSENT TO …

(2 days ago) Health & Safety Code, regardless of the contents of any advance directive or instructions from a health care surrogate or attorney in fact, that if an adverse event or unexpected deterioration occurs during your treatment at this facility we

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Day Surgery Center (863) 293-8471

(6 days ago) • Report to the health care provider whether you comprehend a contemplated course of action and what is expected. • Follow the treatment plan recommended by the health care provider. • Keep appointments and, if unable to do so for any reason, notifying the health care provider or health care facility.

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Receive treatment for any emergency medical conditi

(6 days ago) Department Of Health Consumer Services Unit 4052 Bald Cypress Way, Bin C75 Tallahassee, Florida 32399-3275 You may also contact AAAHC by mail at: Accreditation Association for Ambulatory Health Care, INC. 5250 Old Orchard Road, Suite 200 Skokie, Illinois 60077 All Medicare beneficiaries may also file a complaint or grievance

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PHYSICIANS SURGICAL CARE CENTER an affiliate of SCA

(2 days ago) A durable power of attorney for health care is a document that names your health care proxy. Your proxy is someone you trust to make health decisions if you are unable to do so. While all of these documents play a very important role as to how healthcare decisions are made on your behalf, it is the policy of Physicians Surgical Care Center that we

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OKLAHOMA SURGICARE

(2 days ago) health care directive or health care power of attorney. If you wish to complete an Advance Directive, copies of official State forms are available at our facility. If you do not agree with this facility’s policy, we will be pleased to assist you in rescheduling your procedure. 9/00 Revised: 12/06, 5/09.

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TRINITY PARK SURGERY CENTER PATIENT CONSENT TO

(2 days ago) trinity park surgery center patient consent to resuscitative measures. n. ot . a revocation of a. dvance . d. irectives. o. r . m. edical . p. owers . o. f . a. ttorney. all patients have theright to participatein their own health care decisions and to make advance directives or to execute powers ofattorney that authorize others to make decisions on their behalf based on the

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Privacy Notice Document (HIPAA)

(5 days ago) health information” means any written or oral information about you, including demographic data that can be used to identify you, created or received by your health care provider, which relates to your past, present, or future physical or mental health or condition.

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T U C S O N Surgery Center

(1 days ago) t u c s o n surgery center 1398 n. wilmot rd., tucson, arizona 85712 (520)731-5500 advance directive policy an advance directive is a written instruction, such as a living will or durable power of attorney for healthcare, recognized under state law, relating to the provision of healthcare when the individual who has issued the directive is incapacitated

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Disclosure Information for Patients

(6 days ago) Division of Health Facilities Evaluation and Licensing State of New Jersey New Jersey State Department of Health Office of the Ombudsman for the Institutionalized Elderly PO Box 367 AND PO Box 808 Trenton, New Jersey 08625-0367 Trenton, New Jersey 08625 -0808 . 1-800-792-9770 1-877-582-6995

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