21 . To have personal health information shared with the patient management program only in accordance with state and federal law
22 . To speak with a health professional and to be provided with the names and titles of the staff members involved in your care . You have the right to speak with a staff member ’ s supervisor , if requested .
23 . To know that our mission is to help you better understand your specific condition so you can achieve best results and maintain optimal health over the long-term through our patient management program . You also have the right to receive information about the care and services rendered to you through the patient management program and to be provided with information about your condition as it relates to the care provided . In addition , you have the right to receive information about changes in , or termination of , the patient management program .
24 . To participate in decisions about your care , treatment and services provided , including the right to refuse treatment , decline participation , revoke consent or ‘ opt out ’ and / or request another pharmacy or home infusion provider at any point in time
As a patient , you have the RESPONSIBILITY to :
1 . Submit any forms necessary for program participation ( to the extent required by law ). 2 . Provide accurate clinical and contact information and to notify UAB Specialty Pharmacy
Services of any changes in this information .
3 . Actively participate and adhere to the plan of care or service established by your physician and to notify him / her of your participation in the UAB Specialty Pharmacy Services Patient Management Program .
4 . When home care services are utilized , you are expected to maintain any equipment provided , keep home care visit appointments , or to call your home health care provider if you cannot keep your appointments .
5 . Communicate any information , concerns and / or questions related care or services provided .
6 . Ask questions when you do not understand information or instructions . If you believe you can ’ t follow through with your treatment plan , you are responsible for telling your healthcare provider . You are responsible for outcomes if you do not follow the care , treatment and services plan . 7 . Treat all staff , other patients and visitors with courtesy and respect . 8 . Provide complete and accurate information about your health insurance coverage and to pay your bills in a timely manner . You also have the responsibility to contact the pharmacy staff if your insurance changes .
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