PATIENT RIGHTS
Our commitment to you, our patient, includes the following rights. We comply with applicable Federal civil rights laws and affirm that we will deliver high-quality health care to every patient without regard to:
age, gender, disability, race, color, ancestry, citizenship, religion, pregnancy, sexual orientation, gender identity or expression, national origin, health condition, marital status, veteran status, payment source or ability, or any other basis prohibited by federal, state, or local law.
Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. YOU WILL BE ASKED TO PROVIDE WRITTEN ACKNOWLEDGEMENT OF THIS NOTICE AT THE TIME OF YOUR ENCOUNTER.
Receive available protective and advocacy services
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Have a fair review of alleged patient right violations
Be given the Practice's policies and procedures for:
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Initiation, review, resolution of patient complaints, including the address and phone number to file complaints
Receive, as offered by state law:
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Care and treatment for mental illness or development disability all legal and civil rights as a citizen
Discuss complaints, issues, or problems
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Regarding discrimination in access to services with your doctor and/or the Administrator or Supervisor
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You can file a grievance in person or by mail, fax, or email.
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Compliance Officer - Anita Garcia
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(956) 428-5522.
Get needed information to approve a treatment or procedure
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Understand and expect emergency procedures without unneeded delay within Practice scope
File a complaint with the Ethics Line
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(1-800-994-6610), the Department of Health and Human Services*, Office of Civil Rights* or others with your concerns about patient abuse, neglect, misuse of your property at the Practice, other unresolved complaints, patient safety, and quality concerns.
*Contact information for HHS or OCR: US. Department U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
NOTICE CONCERNING COMPLAINTS
Complaints about physicians as well as other licensees and registrants of the Texas Medical Board, including physician assistants, may be reported for investigations at the following address:
Texas Medical Board
Attention: Investigations
333 Guadalupe, Tower 3, Suite 610
P.O. Box 2018, MC-263
Austin, TX 78768-2018
Call one of the number below for help in filing a complaint.
Customer Service Phone: (512) 305-7030 (Texas only)
Customer Service Phone: (800) 248-4062 (Outside Texas)
For help with filing a complaint: (800) 201-9353
Customer Service E-mail: verifcic@tmb.state.tx.us
Website: www.tmb.state.tx.us