The following is a statement of rights and responsibilities of all New Health Paint Treatment Center patients: 

Patients have the right to:

• Receive humane care and treatment, with respect and consideration
• Ask questions of New Health Pain Treatment Center clinical team and support staff such as name, credentials and therapeutic techniques being used and ask about reasonable alternatives to care
• Be informed of possible legal consequences if treatment is court ordered and about any legal reporting requirements regarding any aspect of screening or treatment
• Privacy and confidentiality when seeking or receiving care except for life threatening situations or conditions to self or others, cases of child, elder or adult abuse, grave disability
• Confidentiality of your health records
• Receive accurate information concerning diagnosis, treatment, risks, and prognosis of an illness or health condition and receive a second professional opinion regarding diagnosis or treatment
• Participate actively in decisions regarding one’s treatment
• Accessible information regarding the scope and availability of services
• A copy of your treatment record upon request and written authorization
• File a complaint with the director of New Health Pain Treatment Center regarding any concerns related to the privacy, confidentiality or security of your treatment record
• Get a list of those with whom we’ve shared your information
• Ask us to limit the information we share
• Request confidential communication
• Receive a copy of this notice
• Choose someone to act for you
• Review and amend your treatment record per HIPAA regulations
• Revoke, cancel or withdraw your authorization to release information.  Please not that some information may have already been given out before the date the release of information was revoked, cancelled or withdrawn.
• A copy of any fees and charges related to your treatment episode

 Patients have a responsibility to:

• Remain free from any and all non-prescribed medications not listed within the treatment plan to include; alcohol, other drug use, including marijuana while a patient at New Health Pain Treatment Center
• Participate actively and to the fullest of your ability in the therapeutic process which includes, and not limited to, groups, patient activities and individual sessions
• Be aware that New Health Pain Treatment Center cannot guarantee that other patients in the program will protect one’s confidentiality. 
• Provide complete information about one’s illness/problem, to enable proper evaluation and treatment
• Ask questions to ensure an understanding of the condition or problem
• Answer questions honestly so that the clinical team can provide the best service possible
• Show respect to New Health Pain Treatment Center personnel and other patients
• Reschedule/cancel an appointment so another person may see a physician
• Pay bills or file health claims in a timely manner
• Use all prescribed medications and/or medical devices for oneself only
• Inform the clinical team if one’s condition worsens, or an unexpected reaction occurs from a medication
• Provide requests for permission to release health records in writing to New Health Pain Treatment Center

Our Uses and Disclosures:  We may share your information as we:

• Treat you
• Run our organization
• Bill for your services
• Help with public health and safety issues
• Do research
• Comply with the law
• Respond to organ and tissue donation requests
• Work with a medical provider
• Address workers’ compensation, law enforcement, and other government requests
• Respond to lawsuit and legal action