So that you may contribute effectively to your health care, you have, the following responsibilities:

1. To read and understand all documents and/or consents you sign. If you do not understand, it is your responsibility to ask the nurse or physician for clarification.
2. To read and reach your own decisions regarding Advance Directives.
3. To provide, to the best of your knowledge, accurate and complete information regarding your health, medications, and past treatments.
4. To provide, to the best of your knowledge, current, accurate and complete information regarding your insurance benefits.
5. To provide a responsible adult to transport you home after surgery, if you have received medication and/or anesthesia.
6. To provide for someone to be responsible for your care for a minimum of the first 24 hours after your procedure.
7. To carefully follow any written or verbal pre or postoperative instructions from your physician(s) or Center staff.
8. To contact your physician regarding any post operative questions or problems.
9. To assure all financial obligations for services are promptly fulfilled upon notification and to assume ultimate responsibility for payment regardless of insurance coverage.
10. To notify the Center if you feel any rights have been violated, or if you have a complaint or a suggestion for improvement, by returning your patient survey form or contacting the Administrator.
11. To stay in the facility or provide means for immediate communication if you are a parent or guardian of child receiving services at the center.
12. To provide accurate information regarding your authority to provide consent for medical care on behalf of yourself or the patient.
13. To provide full disclosure of any valuables you have brought to the Center.