~~~~Established 1977~~~~
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Customer Rights & Responsibilities You have the right to: • Be treated with dignity, courtesy, and respect.• Receive reasonable coordination and continuity of service from referral source to home medical equipment services. • Receive a timely response from our company when home care equipment is needed or requested. • Be fully informed of policies, procedures, and charges for services and equipment, including eligibility for third party reimbursement and receive an explanation of all forms you are requesting signed. • Receive home care equipment and services regardless of race, religion, political belief, sex, social status, age or handicap. • Receive proper identification & courteous service from personnel providing services to you. • Participate in decisions concerning home care equipment needs, including the right to refuse services within the confines of the law. • Have all of your records (except as otherwise provided for by law of third party payor contracts) and all communications, written or oral, treated confidentiality. • Access to all health records pertaining to you and to challenge and have your records corrected for accuracy. • Express dissatisfaction and suggest changes in any service without fear of coercion, discrimination, reprisal, or unreasonable interruption in service. • Receive information on the mechanism for receiving, reviewing, and resolving your complaints or concerns. • Be assured that your rights are honored by all our staff. • Be informed of your responsibilities regarding home care equipment and other services provided to you. Customer Responsibilities: • Customer agrees that rental equipment will be used with reasonable care, not altered or modified, and returned in good condition (normal wear expected). • Customer agrees to promptly report any malfunctions or defects in rental equipment or supplies purchased so that repair/replacement can be arranged. • Customer agrees to provide access to all rental equipment for repair/replacement, maintenance, and or pick up of the equipment. • Customer agrees to use the equipment and supplies purchased for the purpose indicated and in compliance with the physician's prescription. • Customer agrees to keep the equipment in their possession and at the address to with it was delivered unless stated otherwise by the agency. |
