Bill of Patient's Rights & Responsibilities

Notice to Patients

STRIDE serves all patients regardless of inability to pay. Discount programs for essential services are offered depending upon family size and income. You may schedule an appointment to apply for a discount program by calling 303.360.6276

Notice of Non-Discrimination

It is the policy of STRIDE to provide services and employment opportunities to all persons, including protected classes, in accordance with local, state, and federal law.

You have the RIGHT to...

Receive services that are necessary for your care.
Know the names and functions of doctors, nurse practitioners, nurses, and other people caring for you.
Be told by your caregivers what your condition and diagnosis are, what treatment they recommend, how they expect your condition to change, and what follow-up care is necessary.
Know the reason for various tests and treatments given to you and the names of the persons administering them to you.
Know the benefits, risks, and discomforts of any procedure or treatment recommended to you.
Refuse treatment and be informed of the medical or other possible outcomes of your refusal.
Be given an estimate of the charges for any medical procedures that you might undergo during your treatment. Patients are cautioned that actual charges might differ from those estimated due to any changes in diagnosis, unanticipated complications, changes in insurance information, etc.
Know how to get after-hours, weekend, and emergency care.
A full explanation of all papers that the STRIDE staff asks you to sign.
Receive information necessary to give informed consent prior to the start of any procedure and/or treatment, except for emergency situations.
Refuse to sign a consent form until you understand it
Cross out any part of the consent form that you do not want applied to your care.
Change your mind before undergoing a procedure for which you have given your consent.
Refuse to participate in research projects.
Have access to your STRIDE medical records (this does not include records STRIDE has received from other providers, i.e., referrals, old records).
Expect that records related to your care remain confidential. NOTE: Information in these records can be released only under the following circumstances:
- You authorize the release.
- There is immediate danger.
- A duly authorized court order is issued.
Arrange to meet with another provider for a second opinion.
Arrange to change providers, clinics, or hospitals.
Expect that staff will respect your personal privacy to the fullest extent allowed by the care you need. You may also request a chaperone for any exam.
Upon request, examine and receive an explanation of your bill.
Express spiritual and cultural beliefs that do not harm others or interfere with their care.
Give us ideas about how to improve our services.
Be informed of the clinic’s complaint and formal grievance procedure.
File a complaint or formal grievance and have it acknowledged and resolved in a timely and orderly fashion.
Know the facility’s rules and regulations that apply to your conduct as a patient.
Participate in decisions involving your health care.
Information regarding advance directives.
Choose participation in a medical home,

Responsibilities

Treat others with courtesy, dignity, and respect.
Identify STRIDE as your primary medical home.
Consider the rights of other patients and staff and to help control noise.
Keep your appointments and be on time (note: if you cancel or change your appointment, we request 24-hour notice).
Give, upon request, necessary records for registration, billing, ability to pay, and authority to consent.
Give truthful and complete information about your present symptoms, past illnesses, other times you have sought medical care or been hospitalized, medicine you are taking, and other questions about your health.
Take part and participate in all goal setting for your healthcare and follow through with treatment/ care plans and referral processes.
Accept the results if you refuse treatment or do not follow the caregiver’s instructions.
Ask questions if you do not understand papers you are asked to sign or information given to you.
Tell your caregiver when you are not pleased with your care.
Inform Medical care team of any and all decisions regarding end of life care (existing living will, medical power of attorney, or other advance directives that may impact your healthcare.)
Keep your personal belongings in a safe place.
Bring insurance or Medicaid card to each clinic visit.
Assure that your bill is paid.
Pay your co-pay or self-pay fees at the time of check-in for each visit

NOTE: Lack of regard for any of the following responsibilities can result in dismissal from the STRIDE practice. Do not...

Miss more than three appointments (this applies to financial screening appointments as well as medical appointments).
Commit physical violence on the premises of STRIDE.
Threaten or verbally attack other patients or staff.
Commit illegal activities on the STRIDE premises.
Commit racial or ethnic intimidation on the STRIDE premises.
Destroy STRIDE or patient property.
Use obscenities on the STRIDE premises