Client Rights and Responsibilities
The below listed rights pertain to Alcona Health Center’s Child and Adolescent Health Center Program which includes: Tiger Health Extension, Owl Health Extension, Petoskey School Wellness Program, and Alpena High Health Center.
Patient Rights
Each patient has a right to:
- Receive services in our clinic: regardless of race, religion, national origin, gender, sexual orientation, handicap, or ability to pay.
- Be treated with respect and dignity.
- Receive the best possible care and have all options for care explained to you.
- Privacy.
- Discuss any questions or problems you may have about your care provider.
- Refuse any services you do not want or do not understand.
- Make a complaint if you are not satisfied with your care.
Your Right to Confidential Services:
- You have the right to confidential services.
- You have the right to confidential services without a parental consent for these services:
- Limited Behavioral Health services for students aged 14 and older
- Sexual and Reproductive Health Services (Note: birth control devices and prescriptions, abortions and abortion referrals are restricted services and not provided).
- Substance abuse screening, brief intervention, and referral for treatment.
- You have the right to authorize or refuse the release of confidential information unless law requires otherwise.*
- Confidentiality may be broken when we are concerned about your safety or the safety of others.
*If you are under age 18, parents and legal guardians do have the right to see your record, except for information identified as confidential above. When we receive a request from a parent or guardian to view your record, we will meet with you first and will also be available to review the information together with you and your parent/legal guardian.
School staff may be notified of the time you are with us for your appointment if this information is needed for attendance purposes.
Your Responsibilities:
You are responsible for:
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- Participating in the development of your individual treatment plan.
- Working towards your treatment goals and objectives.
- Treating program staff with respect.
- Showing respect and privacy for others using health center services.
- Asking questions about anything you don’t understand.
- Telling program staff about any changes in your health.
- Arriving on time for your appointments.
- Informing staff if you can’t make an appointment.
- Giving us the correct information about your insurance, address, name, or phone number. If any of this information changes, you are responsible to tell the health center.
- Asking any questions if you do not understand any information given to you in writing or verbally.
If you feel your rights have been violated, please inform the School-Based Program Manager: Carley Dettloff – cdettloff@alconahc.org
Download School Based Patient Rights and Responsibilities Handout Click Here