Department of Public Health and Human Services
Early Childhood and Family Support » Family Planning » Resources
MT FPP Calls/Guidance
Example Patient Bill of Rights
You have the right to:
- Be treated with dignity, respect and privacy in all phases of your care and treatment.
- Expect all communications and records will be kept confidential and only released with your written consent, except as required by law or third party payment contract.
- Receive high quality comprehensive family planning and related services provided by qualified personnel.
- A clear, concise explanation, in terms easily understood, of all proposed procedures, probable risks and benefits, alternatives and serious side effects.
- Be informed about any medical condition and its treatment plan.
- Receive all information necessary in order to give informed consent or refusal for any particular drug, device, test, procedure or treatment.
- Have input into all phases of the care and treatment provided.
- Be provided with education and counseling on all aspects of reproductive health and related concerns.
- Be referred for other needed or desired services not available through the agency.
- Be informed of all services available through the agency.
- Be informed of all relevant clinic policies and procedures, including charges for services and eligibility for third party reimbursement.
- Be informed of provisions for off-hour and emergency coverage, including emergency contraception.
- Know the names of the agency staff.
- Be provided with an interpreter if you do not speak English.
- Evaluate the effectiveness of the services.
- Voice grievances and recommend service and policy changes to the staff and the governing body.
- Have complaints handled efficiently and in a timely fashion.
- Expect the agency to behave as a consumer advocate.
- Refuse to participate in experimental research.
You have the responsibility to:
- Keep appointments or notify the agency in advance if you are unable to keep them.
- Give truthful and accurate information.
- Ask questions about anything you do not understand or are concerned about.
- Be aware of the possible side effects of any procedure or treatment, and inform the agency immediately if you suspect any serious side effect or complication.
- Understand your chosen method of contraception and use it responsibly according to instructions.
- Pay what you honestly can of any fees charged for services provided.
- Treat the agency staff with dignity and respect.
- Voice grievances or dissatisfaction to the appropriate staff.