Patient Rights & Responsibilities

Rights: Community Health Services (CHS) has a mission and a vision that includes providing access to comprehensive and quality healthcare to our community. We are committed to providing professional, affordable care with compassion that involves our patients and their families. Knowing your rights and responsibilities as a patient is an important part of this involvement.

As a patient at CHS, your rights include the following:
• The right to respectful and considerate care, regardless of your age, race, color, sex, religion, sexual orientation, marital status, national origin, immigration status or ability to pay for services.
• The right to be free from neglect; exploitation; and verbal, mental, physical, and sexual abuse.
• The right to timely, high quality health care from clinicians who are experienced and trained to meet your healthcare needs.
• The right to receive information about the education and experience of the individual(s) responsible for your care, treatment, or services.
• The right to and need for effective communication and to receive information in a manner you understand.
• The right to participate in decisions about your care, treatment or services.
• The right to make decisions about the management of your care.
• The right to refuse care, treatment, or services in accordance with law and regulation.
• The right to give or withhold informed consent.
• The right to obtain care from other clinicians of your choosing within the primary care medical home and/or seek a second opinion or specialty care from a clinician of your choosing.
• The right to have your personal and medical information and records treated confidentially and to be able to access, request amendment to, and obtain information on disclosures of your health information, in accordance with law and regulation.
• The right to know how to access care after hours.
• The right to receive an itemized copy of your account upon request and to be informed of your eligibility for free care, reduced cost care, or third-party reimbursement.
• The right to have your personal privacy respected by all CHS staff.
• The right to express a safety, quality concern, or complaint about any aspect of your care at CHS and have it reviewed by the organization. The reporting will in no way negatively impact current or future care. To address concerns, please speak to an Eligibility Specialist or Contact Director of Grants and Outreach at 860- 808-8748. If you would like to make a grievance to an outside agency, you may contact the following:

Joint Commission
One Renaissance Blvd.
Oakbrook Terrance, IL 60181

www.jcaho.org

(800)994-6610

Connecticut DPH
410 Capitol Avenue
Hartford, CT 06134-308

www.dph.state.ct.us

(860)509-7400, TTY: (860) 509-7191

CHS Printable & Online Forms

Click below to open a PDF version of the patient complaint form. Print and fill out the form. Then, bring it back to Zenia Camp, where the Lead Eligibility Specialist is at Community Health Services on 500 Albany Avenue, Hartford, CT.

Scan here to complete a patient complaint online.

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