Purpose

Patients have rights, personal values, and beliefs which are to be respected and supported.  Cole Aesthetic Center, its employees, medical staff, and visitors have an obligation to observe the rights of each patient.  There are established mechanisms to ensure that these rights and responsibilities will be observed and communicated.  Cole Aesthetic Center recognizes that the safety of health care delivery is enhanced by the involvement of the patient as a partner in the health care process.  The medical staff, administration and staff endorse and adhere to the Statement of Patient Rights and Responsibilities.

Patient Rights

• You have the right to be informed about your rights as a patient at the upon entering the facility.
• You have the right to be treated with dignity, consideration, respect and recognition of your individual and personal needs by competent personnel.
• You have the right to high-quality care and excellent professional standards that are continually maintained and reviewed.
• You have the right to know what rules and regulations apply to your conduct as a patient.
• You have the right to medically appropriate treatment without discrimination based on race, color, religion, national origin, sex, sexual preference, age or disability.
• You have the right to every consideration of privacy concerning your medical care.
• Your medical records are private and will be treated as confidential. They will not be released to individuals outside the facility without your consent, except in the case of transfer to another facility, or as otherwise provided by law or third-party contractual arrangements.
• You are entitled, upon request, to have access to your medical record information within a reasonable time frame.
• You have the right to full information relating to diagnosis, treatment and alternatives, prognosis and any risk of complications in layman’s terms.
• Except in a medical emergency, informed consent must be obtained from you (or legal representative) prior to the start of any invasive procedure or treatment.
• You have the right to assistance in obtaining consultation with another physician, at your own request and expense.
• When required, you have the right to access a qualified interpreter.
• You have the right to examine, and receive, an explanation of any charges related to your care.
• You have the right to receive safe care, free from abuse or harassment.
• If you feel your emergent condition is life threatening, please call 911 before contacting our office. If you have severe pain, an injury or sudden illness that makes you believe that your health is in serious danger, you have the right to be screened and stabilized using emergency services.  Cole Aesthetic Center has a physician on call 24 hours per day/seven days per week.  In case of emergency please contact us at 360-228-3235.

Advance Directives:  It is the policy of Cole Aesthetic Center that in the event a patient goes into cardiac or respiratory distress or any other medical emergency, all emergency care will be provided, including the calling of paramedics and transfer to a local hospital when indicated.  Cole Aesthetic Center policy is to make every effort to resuscitate all patients.  If a patient’s wishes are not to be resuscitated (DNR) the patient must bring a copy of his/her POLST (Physicians Orders of Life Sustaining Treatment) to have in our records.  This POLST form must be completed by your primary care physician and cannot be completed by Cole Aesthetic Center Physician.

Responsibilities:

Ownership:  Cole Aesthetic Center is a 100% privately owned Corporation by Eric A. Cole MD, FACS.

You have the right to a fair, fast and objective review of any complaint you have against your physician, their staff or the facility. This includes complaints about waiting times, operating hours, the actions of health care personnel, and the adequacy of the health care facilities.

If you have complaints or concerns you have the right to file them with the following:

Cole Aesthetic Center
9800 Levin Road, Suite 101
Silverdale, WA 98383
360-228-3235

Medicare Ombudsman
1-800-Medicare (1-800-633-4227)
http://www.medicare.gov/Ombudsman/resources.asp

Washington State Department of Health
Town Center 2
111 Israel Road SE
PO BOX 47820
Olympia, Washington 98504-7820
(360) 236-3050
http://www.doh.wa.gov

Patient Responsibilities

You are responsible for being considerate of other patients by:

• • Limiting the number of people accompanying you to your visits to 1.
  • Using your telephone in a way not disturbing to others

• You are responsible for supplying accurate and complete information about past medical history, medications, allergies and other matters related to your health.
• You are responsible for notifying your medical team about any unexpected changed in your health.
• You are responsible for following the instructions of your physician and other healthcare personnel. Let us know immediately if you do not understand or cannot follow the instructions.
• You are responsible for your actions if you refuse treatment or do not follow the instructions of the physician or other healthcare personnel.
• You are responsible for behaving respectfully toward all health care professionals and staff as well as other patients and visitors.
• You are responsible for fulfilling the financial obligations of your health care. This includes:
  • Co-pays at the time of service
  • Cosmetic procedures at the time of service
  • Cosmetic surgeries: 50% deposit at scheduling and balance due 3 weeks prior to scheduled procedure.
  • Insurance balances within 30-days of receiving your statement.
  • Insurance balances for functional surgical procedures at time of surgery if estimate was given.
• If applicable, you are responsible for providing current and accurate insurance information. Failure to do so may result in insurance payment denials and your assumption of financial responsibility.

You are responsible to discuss pain relief choices with your physician or nurse and communicate if you are having uncontrolled pain.

• • Co-pays at the time of service
  • Cosmetic procedures at the time of service
  • Cosmetic surgeries: 50% deposit at scheduling and balance due 3 weeks prior to scheduled procedure.
  • Insurance balances within 30-days of receiving your statement.
  • Insurance balances for functional surgical procedures at time of surgery if estimate was given.

• If applicable, you are responsible for providing current and accurate insurance information. Failure to do so may result in insurance payment denials and your assumption of financial responsibility.
• You are responsible to discuss pain relief choices with your physician or nurse and communicate if you are having uncontrolled pain.