Patient's Bill of Rights

As a patient at NorthPoint Health and Wellness Center, you have the right to:

Courteous and respectful treatment.
Receive appropriate health care based on your needs as well as continuity of care by different health care professionals.
Receive complete and current information about your treatment so that you can make informed decisions, including information concerning diagnosis, treatment, and prognosis, and the risks and benefits of recommended treatment. This includes information about prescribed medications and their purpose, possible side effects, and any alternatives to medication.
Receive information in plain language. Appropriate assistance will be provided if you cannot read or speak English or if you have a communication impairment.
Refuse or terminate services or treatment (as permitted by law).
Know and receive in writing, upon request, the following information about the professionals who work with you: 1) name and title; 2) license number; 3) the specialty, if any, of the provider responsible for coordinating your care; and 4) the name, business address, and telephone number of the professional’s supervisor, if any.
Expect that the professional working with you has met the minimal qualifications of training and experience required by law and to be informed, upon request, of the professional’s education, training, and experience.
Information about fees, the method of billing, insurance coverage, and whether the professional is willing to accept partial payment or to waive payment; also, information about the expected length and charges for those services, before receiving the services, and a right to reasonable notice of changes in services or charges.
Refuse to give any information at any time; however, the lack of information may affect our ability to help you.
Request a different professional, within the limits of our agency’s clinical practices, health insurance, medical assistance, or other payment programs or agreements.
A referral when you need services we cannot provide; we will also make a referral when you ask us to do so.
Information about available health and social services in the community, upon request.
A coordinated transfer when there will be a change in the provider of services.
Privacy related to your health care: case discussion, consultation, examination and treatment are confidential and conducted discreetly. You also have a right to privacy and individuality around your social, religious and psychological well-being.
Confidentiality of your records, unless you authorize in writing the release of these records, or as provided by law. You are allowed access to records and written information from records according to state and federal law; this and other rights and restrictions concerning the privacy of your records are described in the Notice of Privacy Practices.
Obtain a copy of the rules of professional conduct governing your professional’s practice from the Public Documents Division, Minnesota Department of Administration, at 666 Olive Street, St. Paul MN, 55155, or by calling 651-297-3000.
Examine public records maintained by the licensing board or agency governing the practice of the professionals providing service to you. Upon request, we will provide you with the address and telephone number of the licensing board or agency.

You may assert your rights without retaliation. If you have questions about your rights, please ask your provider.

Non-Discrimination
We will not discriminate against you in the provision of services based on age, sex, race, creed, marital status, religion, national origin, disability, sexual preference, public assistance status or criminal record.

You have a right to receive services and to be free from sexual harassment, sexual contact, verbal, physical or sexual abuse, and any form of exploitation for the benefit or advantage of the professional.

Reporting a Complaint
If you are dissatisfied with our services, please tell your healthcare provider or the department supervisor. If you remain dissatisfied or still have questions or concerns, you may file a complaint by contacting the NorthPoint complaint coordinator at 612-302-4668.

You may report a complaint to the licensing board or agency governing the practice of the professionals providing service to you. Upon request, our Complaint Coordinator will provide information regarding the procedure for filing a complaint with the respective board as well as the address and telephone number of the licensing board or agency.

You also may report a complaint to the Joint Commission on Accreditation of Healthcare Organizations at the following address: Office of Quality Monitoring, Joint Commission on Accreditation of Healthcare Organizations, One Renaissance Boulevard, Oakbrook Terrace, IL 60181; phone: (800) 994-6610; fax: (630) 792-5636; email: complaint@jcaho.org. More information about the complaint process is available at http://www.jcaho.org/.

Termination of Services – Mental Health
We may terminate your services when you are not likely to benefit from continued professional services or the services are unneeded; we will inform you of the termination orally and in writing and assist you in obtaining services from another professional.

We may also terminate services if you refuse to engage in the therapeutic process, if you continually break program rules, or if you are a danger to yourself or others.

Your Responsibilities
As a patient of NorthPoint Health & Wellness Center, you have a responsibility to:

Provide, to the best of your knowledge, accurate and complete health information.
Let us know if you do not understand the information given you about your diagnosis, treatment, and/or programs.
Follow your treatment plan.
Assure that the financial obligations of your health care are fulfilled as promptly as possible.
Be considerate and respectful of other patients and staff.