Patient Bill of Rights

The Community Health Centers of Southern Iowa (CHCSI), is dedicated to the provision of accessible quality care and service to all its patients. You can expect our staff to demonstrate care and compassion for people of all ages regardless of sex, race, creed; to maintain competency; to focus on your needs; and to assure that you know and understand your rights and responsibilities.




As a patient, you have the right to:

  • take part in your health care and treatment
  • know the names of the people caring for you
  • be treated with respect and dignity in a safe and private setting
  • be informed about your illness and treatment, including options for your care
  • change medical providers at Community Health Centers of Southern Iowa, Inc.
  • get another opinion about your illness or treatment
  • privacy of your health records
  • view your health records
  • talk with the clinic manager about any questions or problems with your care
  • know about services available through CHCSI
  • respect for your cultural, social, spiritual and personal values and beliefs
  • know about legal reporting requirements
  • ask for special arangements if you have a disability
  • ask for help with a living will or durable power of attorney for health care
  • refuse treatment, care and services as allowed by law
  • know the cost of your care and ways you may pay for your care
  • refuse to be included in any research program without limiting medical care or treatment
As a patient, you have the responsibility to:
  • tell your medical provider about your illness or problems
  • ask questions about your illness or care
  • show respect to both care givers and other patients
  • cancel or reschedule appointments in a timely manner so that another person may have that time slot
  • pay your bills on time
  • use medications or medical devices for yourself only
  • inform the medical provider if you become worse or you have an unexpected reaction to a medication
  • give written permission to release your other health records to Community health Centers of Southern Iowa when necessary
  • provide CHCSI a copy of your living will or durable power of attorney for healthcare matters
If you have any questions, please tell your medical provider or the clinic manager.

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