As a patient of Anchor Health, you have the right to:

• Considerate and respectful care in a safe, comfortable environment that contributes to a positive self-image and minimizes distractions that interfere with care.
• Be treated with dignity, free from persecution, neglect, exploitation, sexual harassment, or any type of abuse or discrimination based on your real or perceived race (including traits historically associated with race, such as hair texture, hair type, hair length, and hairstyles); color; national and/or ethnic origin; ancestry and/or shared ancestry; immigration status; English language proficiency; age; religion and/or creed; disability (including record of disability); sex (including sex stereotypes and sex characteristics); gender, gender identity, and/or gender expression; physical appearance (including body size); affectional or sexual orientation; pregnancy and related conditions; parental, familial, and marital status; military or veteran status; genetic information; HIV status; the intersection of these aforementioned identities; and any other identity marker.
• Personal privacy and confidentiality, as set forth in our Notice of Privacy Practices.
• Know the names of health care providers, their qualifications, and their role in your care.
• Treatment by compassionate, skilled, and qualified health care professionals.
• Be informed about and participate in your care and treatment plans.
• Receive culturally sensitive care and accurate and easily understood information about your health in a manner tailored to your age, language, and abilities. This may be achieved using language assistance, interpreters, or translation services.
• Refuse treatment as allowed by law.
• Request and receive medically appropriate and necessary treatment, subject to applicable law and standards of care.
• Proper assessment and management of your pain or discomfort.
• Access and obtain copies of your medical records, except as provided by law.
• Be informed of the care you will need after discharge.
• Receive information about and an explanation of your bill.
• Delegate decisions about your care, treatment, or services to another and/or involve family and others in decisions about your care, treatment, and services.
• Express a complaint or grievance, including one related to your privacy rights as set forth in our Notice of Privacy Practices, by contacting Anchor Health using the information at the end of this statement.
• Contact the following agencies if you are not satisfied with the outcome of your grievance:

For provider complaints:
Mail: Connecticut Department of Public Health, 410 Capitol Ave, MS# 12HSR, Hartford, CT 06134
Phone: 860-509-7552
Email: dph.pliscomplaints@ct.gov
Online: portal.ct.gov/DPH/Practitioner-Licensing–Investigations/PLIS/Reporting-a-Complaint

For privacy complaints:
Mail: Office for Civil Rights, 200 Independence Ave, SW, Room 509F, HHH Building, Washington, DC 20201
Phone: 1-877-696-6775
Online: hhs.gov/ocr/privacy/hipaa/complaints

As a patient of Anchor Health, you have the responsibility to:

• Follow our Code of Conduct to help create a safe, affirming, and healthy environment for all.
• Comply with all our policies, procedures, and guidelines. Not doing so may affect your ability to receive services at Anchor Health, up to and including discharge from care.
• Keep track of your appointments and arrive on time for them.
• Actively participate in your care by:
  • Telling your provider what you need and about your concerns.
  • Working with your provider to decide on and plan your treatment.
  • Asking questions if you don’t understand something.
  • Telling your provider if you are having trouble following your treatment.
  • Taking responsibility to follow preventative measures and adopt health-enhancing behaviors.
• Provide complete and accurate information about your current health complaints, past illnesses and medical history, hospitalizations, medications, allergies, and other matters relating to your health and/or mental health.
• Don’t lie to obtain prescription medications.
• Don’t sell or distribute medications prescribed to you.
• Ensure that Anchor Health has up-to-date contact information for you, including your address, phone number, and email. If you do not keep your contact information current, we might not be able to contact you with important messages about your health.
• Meet your financial responsibilities for the services you receive, which includes providing accurate health insurance information, providing proof of income, applying for government-sponsored benefits, and/or applying for payment plans.
• Pay any copayments, coinsurance, deductibles, and other cost-sharing required by your insurer and any fees for non-covered services. You authorize us to bill your insurer directly and assign to us all reimbursements from, and any legal or administrative claim against, your insurer.
• Call 911 if you are having a medical emergency.
• Follow the directions of Anchor Health staff, especially in an emergency.
• Abide by all applicable laws, including the laws of the city and state in which we are located.

If you have questions or need help understanding your rights and responsibilities, please contact our Compliance & Privacy Officer by calling 203-903-8308, faxing 203-599-3927, emailing, or sending a message.