Recipients Rights Notification
As a recipient of services at our facility, we would like to inform you of your rights as a patient. The information explains your rights and the process of complaining if you believe your rights have been violated.
Your rights as a patient
1. Complaints. We will investigate your complaints.
2. Suggestions. You are invited to suggest changes in any aspect of the services we provide.
3. Civil Rights. Federal and state laws protect your civil rights.
4. Cultural/Spiritual/Gender Issues. You may request services from someone with training or experiences from a specific cultural, spiritual, or gender orientation. If these services are not available, we will help you in the referral process.
5. Treatment. You have the right to take part in formulating your treatment plan.
6. Denial of services. You may refuse services offered and be informed of any potent consequences.
7. Record Restrictions. You may request restrictions on the use of your protected health information; however, we are not required to agree with the request.
8. Availability of Records. You have the right to obtain a copy and/or inspect your protected health information; however, we may deny access to certain records in which we will discuss this decision with you.
9. Amendment of Records. You have the right to request an amendment in your records; if your request is denied, your request will be kept in the records.
10. Medical/Legal Advice. You may discuss your treatment with your doctor/attorney.
11. Disclosures. You have the right to receive an accounting of disclosures of your protected health information that you
have not authorized.
Your rights to receive information
1. Costs of Services & Policy Changes. We will inform you of cost and policy changes.
2. Termination of Services. You will be informed as to what behaviors or violations could lead to termination of services at our clinic.
3. Confidentiality. You will be informed of the limits of confidentiality and how your protected health information will be used.
Our ethical obligations
1. We dedicate ourselves to serving the best interest of each client.
2. We will not discriminate between clients or professionals based on age, race, creed, disabilities, handicaps, preferences, or other personal concerns.
3. We maintain an objective and professional relationship with each client.
4. We respect the rights and views of other mental health professionals.
5. We will appropriately end services or refer clients to other programs when appropriate.
6. We will evaluate our personal limitations, strengths, biases, and effectiveness on an ongoing basis for the purpose of self-improvement. We will continually attain further education and training.
7. We hold respect for various institutional and managerial policies, but we will help improve such policies if the best interest of the client is served.
1. You are responsible for your financial obligations to the clinic as outlined in the Payment Contract for Services and following policies of the clinic.
3. You are responsible to treat staff and fellow patients in a respectful, cordial manner in which their rights are not violated.
4. You are responsible to provide accurate information about yourself
The internet and cell phones are not a totally secure medium for purposes of transmitting client-counselor or other privileged information. SOS Life Ring PLLC is not responsible for any invasion of privacy or loss of privileged information
that may occur via the internet or cell phones. Privileged information will not by transmitted via email or text unless the client has given the counselor written permission. A client communicating with a counselor via email or text first will also
count as giving the counselor permission to communicate via that same medium.
What to do if you believe your rights have been violated
If you believe that, your patient rights have been violated contact SOS Life Ring at (281) 726-4231.