Patient Rights:
As a patient at [Clinic Name], you have the right to:

• Receive respectful, considerate, and compassionate care.

• Receive clear and understandable information about your diagnosis, treatment plan, and prognosis, in terms you can understand.

• Participate in decisions about your care, including the right to refuse treatment.

• Privacy and confidentiality of your medical information.

• Access your medical records as permitted by law.

• Receive an explanation of your bills and services.

• Receive care free from discrimination based on race, color, national origin, religion, sex, age, disability, or any other protected status.

• Voice concerns or complaints without fear of reprisal and to have those concerns addressed.

Patient Responsibilities:
As a patient, you have the responsibility to:

• Provide accurate and complete information about your health history, symptoms, and medications.

• Ask questions if you do not understand any information or instructions.

• Follow the agreed-upon treatment plan or inform your provider if you are unable or unwilling to do so.

• Keep appointments or notify the clinic in advance if you need to cancel or reschedule.

• Understand your insurance coverage and financial obligations related to your care.

• Treat clinic staff and other patients with courtesy and respect.

• Provide feedback about your experience to help us improve our services.

Concerns or Complaints:
If you have a concern or complaint about your care or your rights, please speak with [e.g., our office manager] or contact us at [Phone Number]. We are committed to resolving your concerns promptly and effectively.