You Have The Right To:

1. Be treated with dignity, courtesy and respect.

2. Reasonable coordination and continuity of services from referring agency to home medical equipment service provider, timely response when home care equipment is needed or requested and to be informed in a timely manner of impending discharge.

3. Be fully informed upon admission of the company's policies, procedures, ownership or control of the local facility and the process for receiving, reviewing and resolving your complaints or concerns.

4. Receive complete explanations of charges for the services and equipment, including eligibility for third-party reimbursement and an explanation of all forms you are requested to sign.

5. Receive quality home care equipment and services that meet or exceed professional and industry standards regardless of race, religion, political belief, sex, social status, age or disability.

6. Receive home care equipment and services from qualified personnel and to receive instructions on self-care, safe and effective operation of equipment and your responsibilities regarding home care equipment and services.

7. Participate in decisions concerning the nature and purpose of any technical procedure which will be performed and who will perform it, the possible alternatives and/or risks involved and your right to refuse all or part of the services and to be informed of expected consequences of any such action.

8. Confidentiality of all your records (except as otherwise provided by law or third-party payer contracts) and to review and even challenge those records and to have your records corrected for accuracy.

9. Express dissatisfaction and to suggest changes in any service without discrimination, reprisal or unreasonable interruption of services.

Customer Responsibilities:
Customers receiving care and/or services from Medox Healthcare are responsible to:

1. Adhere to the plan of treatment or service established by their physician.

2. Be available at the time deliveries are made to allow Medox Healthcare's representative to enter their residence at reasonable times to repair or exchange equipment.

3. Care for and safely use equipment, according to instructions provided, for the purpose it was prescribed an only for/on the patient for whom it was prescribed. Monitor the quantity of oxygen, nutritional products, medications and supplies in their homes and reorder as required to assure timely delivery of the required items.

4. Protect equipment from fire, water, theft or other damage. The customer agrees not to transfer or allow his/her equipment to be used by any other person without prior written consent of Medox Healthcare and further agrees not to modify or attempt to make repairs of any kind.

5. Except where contrary to federal or state law, the patient is responsible for equipment rental and sale charges which the patient's insurance company or companies does not pay. The patient is responsible for settlement in full of his/her accounts.

6. Medox Healthcare should be notified of any changes in the patient's physical condition, physician's prescription or insurance coverage. Notify Medox Healthcare immediately of any address or telephone changes whether temporary or permanent.