WE CAN ASSIST YOU WITH INSURANCE APPLICATIONS
Patient Bill of Rights
YOUR RIGHTS ARE IMPORTANT
We believe in treating our patients with respect and dignity at CMWC. Patients maintain the right to receive information about CMWC, our providers, our clinicians, and our services. Any and all questions concerning their health care must be answered and if a patient is ill, they have the right to receive care regardless of their insurance status or ability to pay. Privacy is a right for all our patients and CMWC keeps medical records private in accordance with State and Federal laws. Patients also have the right to see their medical records, ask for corrections and receive a copy within State and Federal requirements. Patients have the right to ask for a second opinion about their health condition. Interpretation services are available at no cost to help patients talk to their provider if English is not the patient’s preferred language. Patients also have the right to receive information about CMWC.
All forms must be returned to us by the patients/signer in person. Please complete and print