Bill of Rights

Patient Rights and Responsibilities

RIGHTS

As a patient receiving services from CANCER SUPPORT TEAM, INC. (the “Agency”), also known as CANCER SUPPORT TEAM HOME CARE SERVICES, a licensed Home Care Agency, you have the right to:

1. Receive a copy and explanation of this Patient’s Bill of Rights and Responsibilities upon admission, and any subsequent revisions thereof.
2. Receive a list of Agency services.
3. Receive a copy of the privacy policy.
4. Participate in the development and implementation of your plan of care.
5. Participate in the timely development of your discharge plan and to the extent needed, be provided with information regarding your continuing needs and alternatives for meeting them.
6. Be informed of all treatments to be provided by the Agency, including how/ when services will be provided, and what to do if you need to cancel a visit.
7. Receive a list of Agency professional staff and the “on-call” after-hours phone number (914) 370-0791.
8. Refuse treatment after being fully informed of and understanding the consequences of such a decision. 
9. Receive information about advance directives.
10. Receive information about submitting a patient complaint to the Executive Director at (914) 777-2777.
11. Voice complaints and recommend changes to the agency regarding staff, policies or procedures or contact the New York State Department of Health at 1-800-628-5972 or other regulatory body, without interference, coercion, discrimination or reprisal.
12. Contact the Department of Health’s Office of Health Systems Management by calling 1-800-628-5972 if you are not satisfied with the Agency’s response to your complaint.
13. Be treated with consideration, respect and dignity.
14. Privacy and confidentiality, including the right to refuse release of your records except as required by law or when transferred to another health care facility.
15. Receive information and answers to your questions in terms that are understandable to you.
16. Receive appropriate and professional home care services without discrimination regarding age, sex, race, religion, national origin, or sexual orientation.
17. Request and receive a copy of your medical record, and to request corrections or amendments, in accordance with federal and state law.

RESPONSIBILITIES

As a patient receiving care CANCER SUPPORT TEAM, INC. (the “Agency”), also known as CANCER SUPPORT TEAM HOME CARE SERVICES, a licensed Home Care Agency, you have the responsibility to:

1. Provide complete and accurate health and, if necessary, financial information.
2. Assist staff in developing and maintaining a safe, clean environment for self and staff.
3. Inform staff in a timely manner if you are unable to receive them for a scheduled visit.
4. Adhere to the agreed upon plan of care.
5. Notify the Agency promptly if there is a sudden change in your health status or medication, or if you are hospitalized.
6. Provide the Agency with the name and phone number of a family member or friend who will be acting as your primary caregiver.
7. Request additional information or clarification as needed.
8. Share your concerns and problems with Agency staff as they arise.
9. Review and sign the statement, to signify understanding and acceptance of the service agreement between you and the Agency, when applicable.
10. Notify the Agency if receiving care from another source.
11. Secure medical care as required by your condition, as requested by staff and in accordance with Agency policy.
12. Refrain from discriminating against staff members because of age, sex, race, religion, national origin or sexual orientation
13. Contact the Executive Director at (914) 777-2777 if you have a complaint about a staff member or the service