outpatient pharmacy

Understanding Your Rights & Responsibilities

Here’s an overview of your rights and responsibilities as a patient to ensure you receive the best care and support.

Patient Rights

• Receive care regardless of your age, race, ethnicity, culture, color, national origin, language, sex, gender identity or expression, sexual orientation, appearance, socio-economic status, physical or mental disability, religion, or
• You have the right to designate a support person of your This support person may be, but is not limited to, a spouse, a domestic partner (including a same-sex domestic partner), a family member, or a friend.
• Know about your medicine in terms that you
• Receive information in a manner that you
• Provide informed consent for any images or recordings of
• Know the members of the specialty pharmacy
• Participate in the decisions concerning your
• Not be involved with research without your
• Receive care free from mental, physical, sexual, or verbal
• Have the right to request protective and advocacy
• Have your religious beliefs
• Have your choices about end-of-life decisions
• Have your privacy
• Be treated politely and with
• Have your comments or complaints reviewed by the

Patient Responsibilities

• Remain under physician's care while receiving
• Provide your healthcare providers with a complete and accurate health
• Accept the consequences for any refusal or treatment or choice of non-
• Participate in your plan of care and report any changes in your health
• Treat your healthcare provider with respect and

Medicare Supplier Standards

The products and/or services provided to you by Santa Clara Valley Healthcare hospitals and clinics are subject to the supplier standards contained in the Federal regulations shown at 42 Code of Federal Regulations Section 424.57(c). These standards concern business professional and operational matters (e.g., honoring warranties and hours of operation). The full text of these standards can be obtained at ecfr.gov. Upon request, we will furnish you with a written copy of the standards.

Patient Concerns

Santa Clara Valley Healthcare

If you have questions or concerns regarding your rights as a patient, please contact our Customer Relations team:

Phone: 1 -800- 351-1818 or 408-885-4826

Website: Complaints & Grievances - Santa Clara Valley Medical Center

The Joint Commission

The Joint Commission—an independent, not-for-profit organization that accredits and certifies healthcare organizations in the United States—gives patients, their families, and caregivers an opportunity to share concerns regarding safety and quality of care. If you feel that a concern has not been adequately responded to by Santa Clara Valley Healthcare, contacting The Joint Commission via an online form, email, fax, or mail is an option. See contact details below:

Online Form: jointcommission.org/report_a_complaint.aspx

Email: [email protected]

Fax: 630-792-5636

Mail:
Oice of Quality and Patient Safety
The Joint Commission
1 Renaissance Blvd.
Oakbrook Terrace, IL 60181

California Department of Public Health

Phone: 916-558-1784

Address:
1625 North Market Blvd Suite N219
Sacramento, CA 95834

California Board of Pharmacy

Phone: 916-574-7900

Address:
P.O. Box 997377, MS0500
Sacramento, CA 95899

Medicare

Phone: 1-800-MEDICARE (633-4227)