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Be treated with dignity,
courtesy, and respect.
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Receive reasonable
coordination and continuity of services from referral source to home medical
equipment services.
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Receive a timely response
from our company when home care equipment is needed or requested.
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Be fully informed of
policies, procedures, and charges for services and equipment, including
eligibility for third party reimbursement, and receive an explanation of all
forms you are requested to sign.
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Receive home care
equipment and services regardless of race, religion, political belief, sex,
social status, age, or handicap.
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Receive proper
identification from personnel providing services.
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Participate in decisions
concerning home care equipment needs, including the right to refuse services
within the confines of the law.
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Have all of your records
(except as otherwise provided for by law of third party payor contracts) and
all communications, written or oral, treated confidentially.
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Access all health records
pertaining to you and to challenge and have your records corrected for
accuracy.
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Express dissatisfaction
and suggest changes in any services without fear of coercion,
discrimination, reprisal, or unreasonable interruption in service.
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Receive information on
the mechanism for receiving, reviewing, and resolving your complaints or
concerns – contact the Company Director.
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Be assured that your
rights are honored by all our staff.
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Be informed of your
responsibilities regarding home care equipment and services.
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Customer agrees that
rental equipment will be used with reasonable care, not altered or modified,
and returned in good condition (normal wear expected).
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Customer agrees to
promptly report any malfunction or defects in rental equipment so that
repair/replacement can be arranged.
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Customer agrees to
provide access to all rental equipment for repair/replacement, maintenance,
and/or pick up of the equipment.
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Customer agrees to use
the equipment for the purpose indicated and in compliance with the
physician’s prescription. Customer agrees to keep the equipment in the
possession and at the address to which it was delivered unless authorized by
the Company.
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Customer agrees to notify
the agency of any hospitalization or changes in customer insurance, address,
telephone number, physician, or when the medical need for the rental
equipment no longer exists.
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Customer agrees to accept
all financial responsibility for home medical equipment furnished by this
Company.
