Patient Bill of Rights

Patient Rights:

1. The right to considerate and respectful care.
2. The right to relevant, current, and understandable information concerning your medication therapy and treatment from pharmacists and other direct caregivers.
3. The right to information related to your specific drug therapy, including possible adverse side effects and drug interactions.
4. The right to speak to, or receive counseling from the pharmacist to help you understand your medication, appropriate use, and patient management program.
5. The right to receive information, philosophy, and characteristics of the patient management program, before and during treatment, and the right to refuse a recommended treatment or care plan and any limitations.
6. The right to receive administration information regarding changes in, or termination of, the patient management program.
7. The right to participate in the development and periodic revision of the plan of care.
8. The right to the name and job title of all program staff members, and the right to speak with a staff member’s supervisor.
9. The right to complain without fear or reprisals about the care and services you are receiving and to have the pharmacy respond to you and if you request it, a written response.
10. The right to reasonable privacy of protected health information; this information may be shared with the patient management program and those entities described in the Notice of Privacy Practices and in accordance with state and federal law.
11. The right to be informed in advance, both orally and in writing, of the charges, including payment for care/service expected from the third parties and any charges for which the client/ patient will be responsible.
12. The right to be informed of any financial benefits when referred to an organization.
13. The right to decline to participate, revoke consent, or cancel enrollment at any point in time.*
14. The right to receive appropriate care without discrimination as to race, color, religion, sex, gender identity, national origin, disability, sexual orientation, age, or source of payment.
15. The right to receive information about the scope of services that the organization will provide and specific limitations on those services.
16. The right to be advised on the pharmacy’s policies and procedures regarding the disclosure of clinical records.
17. The right to review your medical record without charge and obtain a copy of your medical record.
18. The right to review and obtain their pharmacy records consistent with the HIPAA Privacy Rule.
19. The right to be fully informed of one’s responsibilities.

The effectiveness of patient care and patient satisfaction with the course of drug therapy will depend, in part, on the patient fulfilling certain responsibilities.

*You can opt out of the patient management program by contacting the Vivo Health Pharmacy location that provides your patient management services or by sending an email to the customer advocacy service at advocacy@vivohealthpharmacy.com.

Patient Responsibilities:

1. To submit all forms required, including any forms that are necessary to participate in the program, to the extent required by law.
2. To provide accurate clinical information (including current medications, medication history, and drug and food allergies) and to notify the patient management program of any changes.
3. To notify the provider treating you of your participation in the patient management program, if applicable.
4. To request clarification about the drugs you are taking if you do not fully understand the information and instructions you have been given.
5. To follow a medication regimen as instructed by your provider.
6. To notify your provider and pharmacist if you choose to end your medication therapy.
7. To notify your provider and pharmacist of changes in contact information, address, or insurance information.
8. To accept any financial responsibility not covered by insurance.
9. To notify your pharmacist of your preferences related to receiving information including preferred education method and contact time.
10. Client/patient maintains any equipment provided.
11. Client/patient notifies the organization of any concerns about the care or services provided. 

Patients’ Rights and Responsibilities updated June 8, 2020.