Patient Guide
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Map & Driving Directions
Atlas Diagnostic Imaging
5023 N. Illinois St. Fairview Heights, IL 62208
Phone: 618-239-0678
Apollo Ambulatory Surgery Center
10012 Manchester Rd, St. Louis, MO 63122
Phone: (314) 462-9100
Phone: (314) 462-9100
Physicians' Surgical Centre
311 W Lincoln St # 300, Belleville, IL 62220
Phone: (618) 239-0678
Phone: (618) 239-0678
Metroeast Endoscopic Surgery Center
5023 N Illinois St, Fairview Heights, IL 62208
Phone: (618) 239-0678
Phone: (618) 239-0678
Belleville Surgery Center
28 N 64th St, Belleville, IL 62223
Phone: (618) 239-0678
Phone: (618) 239-0678
O'Fallon Surgical Centre
741 Insight Avenue O’Fallon, IL 62269
Phone: (618) 239-0678
Phone: (618) 239-0678
Elite Ambulatory Surgery Center
10012 Manchester Rd, St. Louis, MO 63122
Phone: (314) 462-9113
Phone: (314) 462-9113
Advanced Orthospine Institute
10012 Manchester Rd, St. Louis, MO 63122
Phone: (314) 462-9100
Phone: (314) 462-9100
Interventional Pain & Spine Institute
28 N 64th St, Belleville, IL 62223
Phone: 618-239-0678
Patients Form
Patient’s Rights
Your Rights
- Considerate, respectful care at all times and under all circumstances with recognition of your personal dignity.
- Personal and informational privacy within the law.
- Be fully informed about your diagnosis, treatment, and prognosis to the degree known.
- Confidentiality of records and disclosures. Except when required by law, you have the right to approve or refuse the release of records.
- The opportunity to participate in decisions involving your health care, including the right to accept or refuse medical or surgical treatment, unless contraindicated by concerns for your health.
- Change primary or specialty physician or dentist if others are available.
- Information concerning implementation of any advance care directive.
- Impartial access to treatment regardless of race, color, sex, national origin, religion, handicap or disability. (The Surgery Center adheres to all Federal and State rules, regulations, and policies to promote a safe and non-discriminatory environment for all of our guests).
- Request information on fees for services or payment policies and receive a bill for services upon request.
- Know the identity and professional status of individuals providing service to you.
- Report any comments concerning the quality of services provided to you during the time spent at the facility and receive fair follow-up on your comments, complaints or grievances without discrimination or reprisal.
- If adjudged incompetent under applicable state health and safety laws by a court of proper jurisdiction, your rights will be exercised by the person appointed under state law to act on your behalf.
- If not adjudged incompetent, any legal representative or surrogate designated by you in accordance with state laws may exercise your rights to the extent allowed by state law.
- Exercise any and all of these rights without being subjected to discrimination or reprisal.
Your Responsibilities
- Providing accurate and complete information about your current health status and past medical history to the best of your knowledge, and reporting any unexpected changes to the relevant practitioner (s).
- Adhering to the treatment plan indicated by the primary care physician in your instance.
- Providing an adult to drive you home following surgery and to be responsible for you at home for the first twenty-four (24) hours.
- Indicating whether you clearly understand a contemplated course of action and what is expected of you.
- Your actions if you refuse treatment, leave the facility against the advice of the practitioner, and/or do not follow the practitioner’s instructions relating to your case.
- Assuring that the financial obligations of your health care are fulfilled as expediently as possible.
- Providing information about and/or copies of any living will, power of attorney or other directives that you desire us to know about.
- Being respectful of all healthcare providers and staff as well as other patients.