Surgery Center Advanced Notices
Last updated: September 12, 2025
Patient bill of rights
- To expect to be treated with respect, consideration, and dignity.
- To receive the best possible care in a safe and comfortable environment.
- To expect treatment without regard to race, color, creed, religion, sex, national origin, or source of payment, except for fiscal capability thereof, without any concern for abuse or harassment.
- To know services available, such as provisions for after hours or emergency care, educational material available, and policies concerning payment of fees.
- To know name, functions, and relationship of any person providing my healthcare.
- To be assured confidential treatment of disclosure of records and afforded the opportunity to approve or refuse the release of such information, except as permitted or required by law.
- To be provided, to the degree known, information concerning my diagnosis, treatment, and prognosis.
- To have the opportunity to participate in decisions involving my health care.
- To request a second opinion, voice a complaint or grievance, or refuse to participate in experimental research without fear of discrimination or reprisal.
- To expect a reasonable response to any reasonable request made for service.
- To refuse treatment to the extent permitted by law and to be informed of the medical consequences of my action.
- To change providers if other qualified providers are available.
- To examine and receive an explanation of my bill, regardless of the source of payment.
- To expect reasonable continuity of care and to know in advance the time and location of appointments.
- To have all my patient rights apply to the person who has legal responsibility to make decisions regarding my medical care.
- To expect reasonable resolution of complaints at the Practice level.
Statement of patient responsibility
- To provide to the best of their knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to their health.
- To participate in health care decisions and for following the plan of care outlined by the practitioner responsible for their care. This includes following instructions of the physicians, nurses, and other health care personnel carrying out the plan of care.
- For assuring that the financial obligations of their health care are fulfilled as promptly as possible, and in the case of financial difficulty, making all reasonable efforts to meet any agreed upon financial payment plan.
- For their actions if they refuse treatment or are non-compliant in following a plan of treatment recommended by their physician.
- To know the rules and regulations of Shady Grove Fertility affecting their care and conduct and for following the rules and regulations.
- For being considerate of the rights of other patients and considerate and respectful to Shady Grove Fertility personnel.
- For being respectful of the property of other persons and of Shady Grove Fertility.
- To make known to their physician, attending nurse, or other health care personnel, any concerns or complaints they may have.
- To make sure they understands all information regarding the implications of their symptoms, their surgery or procedure (if applicable) and any risks related to having or declining such surgery or procedure, the expected outcomes of the plan of care outlined by their physician, and their responsibilities in regards to that plan of care.
- To provide a responsible adult to transport them to and from the surgical center and to remain with them during the procedure and for twenty-four (24) hours afterward, should the physician deem
it necessary. - To inform their clinical team regarding any will, medical power of attorney, or other directive that could affect their care.
- To understand that Shady Grove Fertility does not honor Advance Directives and will not be liable for its terms during their stay.
Advanced directives
PURPOSE
To provide information to all patients of their rights under state law to make decisions concerning medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives.
POLICY
It is the policy of Shady Grove Fertility’s physicians and staff to acknowledge a patient’s right to have advance directives. However, as specialists in reproductive medicine in an ambulatory setting working with young, primarily healthy patients, Shady Grove Fertility staff do not honor Advance Directives with patients scheduled for procedures at a Shady Grove Fertility location. We will ask the patient if they have a Living Will and, if requested, provide them with a state-approved form. Shady Grove Fertility physicians and staff respect the right of a patient to have an advanced directive, however, should an untoward event happen to a patient while he or she is in a Shady Grove Fertility center, it is also our policy to stabilize that patient and transport him or her to the nearest hospital with a copy of the advanced directive (if made available). This policy will be made clear to the patients and is included as part of the Patient Responsibilities.
Patient complaints/grievances
- All patient complaints regarding treatment, service, damaged or lost articles or billing will be forwarded to the appropriate supervisor, Regional Executive Director and/or the Human Resources Department for investigation and appropriate response.
- Any complaint received from a patient while a patient at Shady Grove Fertility will be addressed and forwarded to the Office Supervisor, Regional Executive Director, and if necessary, to the patient’s physician.
- The Office Supervisor or Regional Executive Director is responsible for following up on all patient complaints and for notifying the physician of record whenever a patient has issued a complaint against any Shady Grove Fertility staff member of physician.
- A record of the complaint, investigation, follow-up action and response to the patient will be kept. A response to the patient can be expected within 60 days. Patient complaints will be trended and reported through the CQI Committee process.
