Patient Rights

Transformations Surgery Center has established this Patient's Bill of Rights as a policy with the expectation that observance of these rights will contribute to more effective patient care and greater satisfaction for the patient, his/her physician, and the facility organization. It is recognized that a personal relationship between the physician and the patient is essential for the provision of proper medical care. The traditional physician patient relationship takes on a new dimension when care is rendered within an organized structure. Legal precedent has established that the facility itself also has a responsibility to the patient. It is in recognition of these factors that these rights are affirmed. No catalog of rights can guarantee the patient the kind of treatment he has a right to expect. This facility has many functions to perform, including the prevention and treatment of disease, the education of both health professionals and patients. All these activities must be conducted with an overriding concern for the patient, and above all, the recognition of his/her dignity as a human being. Success in achieving this recognition assures success in the defense of the rights of the patient.

As a patient you have the right to:

• Considerate, respectful and safe care at all times and under all circumstances with recognition of your personal dignity.

• Personal and informational privacy and security for self and property.

• Have a surrogate (parent, legal guardian, person with medical power of attorney) exercise the Patient Rights when you are unable to do so, without coercion, discrimination or retaliation.

• Confidentiality of records and disclosures and the right to access information contained in your clinical record. Except when required by law, you have the right to approve or refuse the release of records.

• Information concerning your diagnosis, treatment and prognosis, to the degree known.

• Participate in decisions involving your healthcare and be fully informed of and to consent or refuse to participate in any unusual, experimental or research project without compromising your access to services.

• Make decisions about medical care, including the right to accept or refuse medical or surgical treatment after being adequately informed of the benefits, risks and alternatives, without coercion, discrimination or retaliation.

• Self-determination including the rights to accept or to refuse treatment and the right to formulate an advance directive.

• Competent, caring healthcare providers who act as your advocate and treat your pain as effectively as possible.

• Know the identity and professional status of individuals providing service and be provided with adequate education regarding self-care at home, written in language you can understand.

• Be free from unnecessary use of physical or chemical restraint and or seclusion as a means of coercion, convenience or retaliation.

• Know the reason(s) for your transfer either inside or outside the facility.

• Impartial access to treatment regardless of race, color, age, sex, sexual orientation, national origin, religion, handicap or disability.

• Receive an itemized bill for all services within a reasonable period of time and be informed of the source of reimbursement and any limitations or constraints placed upon your care.

• Go anywhere in the Ambulatory Surgery Center, as long as you are accompanied and it does not interfere with patient privacy and care.

• File a grievance with the facility by contacting the Administrator, via telephone or in writing, when you feel your rights have been violated.


o Facility Administrator

2441 Oak Myrtle Lane

Suite 103

Wesley Chapel, FL 33544

(813) 563-1144

• 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.

• Know about any business relationships among the facility, healthcare providers, and others that might influence your care or treatment.

• File a complaint of suspected violations of health department regulations and/or patient rights.


o Complaints may be filed at:

Complaint Administration Unit

Michelle Hart, Unit Manager

(888) 419-3456 Toll Free

(800) 955-8771 TDD

(850) 488-6094 Fax


o Office of the Medicare Beneficiary Ombudsman­help/ombudsman. htm

As a patient you are responsible for: 

• Providing, to the best of your knowledge, accurate and complete information about your present health status and past medical history and reporting any unexpected changes to the appropriate physician(s).

• Following the treatment plan recommended by the primary physician involved in your case.

• Providing an adult to transport you home after surgery and an adult to be responsible for you at home for the first 24 hours after surgery.

• Indicating whether you clearly understand a contemplated course of action, and what is expected of you, and ask questions when you need further information.

• Your actions if you refuse treatment, leave the facility against the advice of the physician, and/or do not follow the physician's instructions relating to your care.

• Ensuring that the financial obligations of your healthcare are fulfilled as expediently as possible.

• Providing information about, and/or copies of any living will, power of attorney or other directive that you desire us to know about.

Advanced Directives:

What is an advanced directive?

An advance directive is a written or oral statement about how you would like medical decisions to be made should you not be able to make those decisions yourself.

Downloadable Forms:

Living Will:

Uniform Donor Form:

Designation of Health Care Surrogate: