We believe that all patients receiving services from Alphascript should know their rights.

You have the right to:

• Be notified in writing of your rights before beginning your treatment.

• Be treated with dignity and respect.

• Have your cultural, spiritual and personal values, beliefs and preferences respected.

• Speak with a health professional.

• Receive information about the services that Alphascript will provide and any limitations of those services.

• Be informed in advance about services and any changes to your plan of care and financial responsibilities.

• Refuse care or treatment after the consequences of refusing care or treatment are fully presented.
• Be free from mistreatment, neglect or any form of abuse.

• Have your patient records and information regarding your care kept private in accordance with applicable law.

• Choose a healthcare provider, including a doctor or other prescriber, if applicable.

• Receive care without discrimination in accordance with your doctor’s orders.

• Be provided service in a timely manner.

• Receive a detailed explanation of charges.

• Express a complaint without restraint, interference, coercion, discrimination or reprisal.

• Have complaints about your treatment or lack of respect of property investigated.

• Be informed of potential reimbursement for services under Medicare, Medicaid or other third-party insurers based on your condition and insurance eligibility (to the best of Alphascript’s knowledge).

• Be notified of your financial responsibility for products and services that are not fully reimbursed by Medicare, Medicaid or other third-party insurers (to the best of Alphascript’s knowledge).

• Receive information in a language or method of communication that you can understand.

• Receive information about Alphascript’s patient management program.

• Know about Alphascript’s philosophy and characteristics of our patient management program.

• Participate in the development and periodic changes of the plan of service.

• Receive information regarding changes in, or termination of, the patient management program.

• Have your health information shared with the patient management program only in accordance with state and federal law.

• Identify Alphascript staff members, including their job title. You can speak with a staff member’s supervisor if requested.

• Decline to participate, revoke consent or disenroll from the patient management program at any point in time.

You are responsible for:

• Telling Alphascript about changes to your address, phone number or insurance status.

• Telling Alphascript about any change in your condition, physician orders or physician.

• Meeting the financial obligations of your healthcare as set forth by Medicare, Medicaid, or your insurance.

• Providing accurate and complete contact information and information about present complaints, past illnesses, hospitalizations, medication and other matters concerning your health.

• Your actions if you do not follow the plan of care/treatment.

• Treating Alphascript’s staff members with respect.

• Asking questions about your care/treatment and notifying Alphascript about any concerns.

• Submitting any forms that are necessary to participate in the program.

• Telling your treatment provider of your participation in Alphascript’s patient management program, if applicable.