Patient Rights

• To be treated with dignity and respect.
• To know the name and professional status of people serving you.
• To confidentiality of your medical records.
• To receive complete and accurate information about your health-related concerns.
• To know the effectiveness and possible side effects of all forms of treatment.
• To receive verbal education, counseling, and written materials related to your medical condition and/or treatment.
• To accept or refuse any care or treatment.
• To select and/or change your health are provider.
• To review your medical records with the clinical staff provider.
• To receive information about services and related costs provided at Hawai‘i Island Community Health Center (HICHC).

Patient Responsibilities

• To provide medical history to the clinical staff including medical records and a list of current medications.
• To provide HICHC with proof of income, as required by the state of Hawaii (pertains to Sliding Fee Schedule applicants only).
• To notify HICHC of any changes in insurance, income status, addresses, and phone numbers.
• To treat other patients and HICHC staff with respect. Swearing, threatening or aggressive behavior could result in immediate discharge from the clinic.
• To notify HICHC if you will be late or unable to make your appointment. Your appointment may be cancelled or rescheduled if you are late.
• To contact your insurer if you have questions about your coverage. Your medical, dental, and prescription coverage is a policy between you and your insurer.
• To pay any amount due, or for an item or service that may not be covered, on the date of service.
• To follow the treatment plan as advised by a licensed HICHC provider when accepting care.
• To be responsible for your medications. Request for refills will require at least 48 hours notice or an office visit, as required by your provider.
• To be present and available in the clinic during appointments for any minor children you are legally responsible for.
• To attend to your child’s or children’s behavior and provide adult supervision for your child/ren at all times during clinic visits or reschedule your appointment if
this cannot be arranged. HICHC staff will not be responsible for minor children.
• To refrain from bringing your pets into the health center except for service animals in accordance with the Americans with Disabilities Act.
• To not bring weapons or objects that may cause harm to others into HICHC facilities. Weapons are not allowed on any HICHC premises.
• To not photograph or record (including audio/video) any activities or services within HICHC facilities