As a patient (or the parent or guardian of a patient) at Fayette Regional Health System, you have numerous rights, which contribute to your care and well being. Each member of the staff works to support you in exercising and protecting these rights.

1. You have the right to receive considerate and respectful care at all times, without regard for race, color, creed, sex, sexual orientation, age, national origin, handicap or the source of payment for your care.
2. You have the rights to receive every consideration for privacy and your personal dignity. Interviews, examinations and treatments will be conducted with discretion. If you request, a person of your sex will be present during physical exam, treatment or procedure by a health professional of the opposite sex.
3. You have the right to expect that all communication and records regarding you medical car, treatment and financial information will be treated as confidential.
4. You have the right to be visited by family members, friends and associates, though limitations may be placed by your physician, yourself or by a responsible family member.
5. You have the right to voice complaints or concerns about your care to hospital administration or the patient representative and to receive prompt attention to those complaints or concerns by the appropriate hospital personnel and/or medical staff officials. You also have the right to voice your complaint to the Indiana State Department of Health. The contact person at the Indiana Department of Health is Mary Azbill at:

   Acute Care Services, ISDH
   2 North Meridian Street
   Indianapolis, IN 46204
   Or Phone 1-800-246-8909

6. You have the right to examine and receive an explanation of your bill, regardless of the source of its payment.
7. You have the right to expect that, within its capacity, the hospital must make reasonable response to the request of a patient for services. The hospital must provide evaluation, service and/or referral as indicated by the urgency of the case. When medically permissible, a patient may be transferred to another facility only after receiving complete information and explanation concerning the need for and alternatives to such a transfer. The institution to which the transfer is to be made must first have agreed to accept the patient.
8. You have the right to participate in decision making regarding your care. This includes:
   1. You have the right to information, which will enable you to make treatment decisions that reflect your wishes. This includes a clear explanation of your condition, the purpose of treatment or procedures, the potential benefits and drawbacks, as well as the likelihood of success. Alternative procedures or treatments should also be discussed. You also have the right to know the name, position and professional relationship of all individuals who are treating you. When this is not possible or medically advisable, the information will be made available to an appropriate person on your behalf. If you do not speak or understand English, every reasonable attempt will be made to provide an interpreter.
   2. You have the right to refuse treatment and to leave the hospital, to the extent permitted by law, and to be informed of the medical consequences of such actions.
   3. You have the right to be informed if the hospital proposes to engage in or perform any human experimentation or other research/evaluation projects affecting your care. You may decline to participate in any such activity.
   4. You have the right to access specialists for consultation and/or discussion of your treatment.
   5. You have the right by Indiana law to make and write down your wishes regarding your future medical care, should you become unable to make or communicate those decisions. You may also appoint a person you choose to make those decisions for you when you are unable to do so. The legal documents, which detail your wishes, are called Advance Directives.
   6. The right to actively participate in care decisions includes the right to donate organs and/or tissue.
9. Patients have the right to access emergency services and to be free from discrimination.
10. You have the right to safety and to be free from restraints and seclusion.
11. You have the right to obtain a copy of your medical record.
12. You have the right to have your pain assessed and managed appropriately.

There may be personal reasons why you choose to execute or not execute advance directives concerning your healthcare and medical treatment.

FAYETTE REGIONAL HEALTH SYSTEM DOES NOT CONDITION THE PROVISION OF MEDICAL CARE OR DISCRIMINATE AGAINST AN INDIVIDUAL BASED ON WHETHER OR NOT AN ADVANCE DIRECTIVE HAS BEEN EXECUTED.

If you or your family wishes further information or assistance, please contact one of the following resources:

1. Legal Services Organization of Indiana Inc.
   1-800-869-0212
   
   This service is available to low-income and individuals over sixty (60) years of age. Contact the office between 8:30 A.M.-12:00 noon Monday-Friday.
   
   
2. Fayette Regional Health System
   Social Services/Discharge Planning
   (765) 827-7815 or (765) 827-8006 or Chaplaincy (765) 827-7754