Notice of Bellin Health's Patient Rights and Responsibilities

Patient Rights & Responsibilities

You have the right to...

Access to health care will not be denied because of race, color, national origin, sex, age or disability.
The organization will recognize all state‑sanctioned (permissible) marriage and spouses.

Health care no matter what your background or language.
Appropriate medical screening and stabilizing treatment regardless of the source of your payment for care.
Care without notice to anyone about your immigration status. Immigrant families are welcome to receive services that they are eligible for without fear of being reported.

Respectful care in a safe place which is free from abuse, neglect or harassment.
Be free from restraint or seclusion that is not medically needed.

Confidentiality surrounding admission and treatment. Your stay and medical records will not be shared without your permission.
Personal privacy when you are examined. If you would like an attendant present during any exams, please ask the staff.

Say what your wishes for medical treatment would be if you are unable to communicate them. These advance choices can be in a living will, a power of attorney for health care, or another witnessed statement.

Be involved in your plan of care. You will be given information about the risks, benefits, and choices of any proposed treatments and alternatives available. You may also refuse medical treatment.
Include family or other important persons in decisions about your plan of care and treatments.
Understand what is going on and being talked about in a way you can understand. Free interpreters are available if needed.
Have your physician, family member or person of your choice promptly notified of your admission.
Access to medical records, including current medical records, within a reasonable timeframe upon request.
Be involved in your pain management.
Request a discharge planning evaluation and be involved in your discharge plan.

Decide who is allowed to visit including your spouse, a domestic partner, family member, friend or another person of your choosing.
All visitors will enjoy full and equal visitation privileges consistent with patient preferences.
Restriction or limitations to visitation may be initiated when the organization has justified clinical reasons to do so.

File a written or verbal complaint. You can call our complaint office through the switchboard at (920) 433-3500.

Receive a notice for non-coverage and right to appeal perceived premature discharge.
Receive a notice that you are an outpatient receiving observation services and are not an inpatient of the hospital.

Help us to help you by:

Telling us about your past illnesses, hospital stays and treatments, current drugs, and the reason why you are here.
Asking us questions if you do not understand your treatment plan.
Respecting others’ rights.
Following the treatment plan you and your doctors, nurses, and health care team have agreed upon.
Asking us if our plan seems different from the care you have received before, or you don’t understand it.
Keeping appointments that have been made for you and telling us when you can’t make them.
Informing us promptly if you experience any unexpected results.
Telling us if you are unhappy with any part of your care at Bellin Health.