Patient Bill of Rights


SUMMARY OF FLORIDA PATIENT’S 
BILL OF RIGHTS AND RESPONSIBILITIES
SARASOTA MEMORIAL HOSPITAL

Florida law requires that your health care provider or health care facility recognize your rights while you are receiving medical care and that you respect the health care provider’s or health care facility’s right to expect certain behavior on the part of patients.  You may request a copy of the full text of this law from your health care provider or health care facility.  A summary of your rights and responsibilities follows:

A patient has the right to: 

A patient is responsible for:


Summary of Patient Rights Condition of Participation for Hospital Patients (Part 482)

A patient has the right to: 

029215  Rev. 05/12

AGENCY CONTACT INFORMATION FOR COMPLAINTS AND GRIEVANCES
The Sarasota Memorial health Care System’s goal is to promptly address concerns you may have regarding your care, services provided to you, and/or issues about your bill.  Please ask a member of your healthcare team to help you.  For complaints that require further attention please ask to speak to the director or manager responsible for the area of concern.  If you feel that your concerns have not been addressed and you require further assistance, please call (941) 917-7641.

FILING COMPLAINTS
If you have a complaint regarding a hospital or ambulatory surgical center, call the Consumer Assistance Unit at 1-888-419-3456 (press 1) or write to the address below:

AGENCY FOR HEALTH CARE ADMINISTRATION

CONSUMER ASSISTANCE UNIT 2727 MAHAN DRIVE/BLDG 1
TALLAHASSEE, FL  32308


If you have a complaint regarding a health care professional and want to receive a complaint form, call the Consumer Services Unit Department of Health.

DEPARTMENT OF HEALTH
CONSUMER SERVICES UNIT

4052 BALD CYPRESS WAY BIN C-75
TALLAHASSEE, FL  32399-3260

1-850-245-4339


If you have a complaint regarding a physician:

FLORIDA MEDICAL QUALITY
ASSURANCE, INC.

5201 W KENNEDY BLVD, SUITE 900
TAMPA, FL  33609

1-800-844-0795
Fax: 1-813-354-0737
On-line reporting: FMQAI.com


If you have a complaint about the privacy of your health care information:

U.S. DEPARTMENT OF HEALTH
& HUMAN SERVICES REGION IV,
OFFICE FOR CIVIL RIGHTS

SAM NUNN ATLANTA FEDERAL CENTER
61 FORSYTH STREET SW
SUITE 16T70
ATLANTA, GEORGIA  30303-8909

1-800-368-1019

TTY/TDD: 1-800-537-7697
ABUSE / DOMESTIC VIOLENCE CHILDREN & FAMILY SERVICES
1317 WINEWOOD BLVD BLDG 1, ROOM 202 TALLAHASSEE, FL 32399-0700

1-800-962-2873


FLORIDA ABUSE HOTLINE
FOR CHILDREN AND ADULTS

1-800-962-2873
TTY/TDD: 1-800-453-5145
FAX: 1-800-914-0004


FLORIDA DOMESTIC VIOLENCE HOTLINE:
1-800-500-1119
TTY: 1-800-621-4202


DISABILITY RIGHTS FLORIDA
2728 CENTERVIEW DRIVE
SUITE 102
TALLAHASSEE, FL 32301

1-800-342-0823
TTY/TDD: 1-800-346-4127
FAX: 1-850-488-8640


LONG TERM CARE OMBUDSMAN COUNCIL 2295 VICTORIA AVENUE SUITE 152
FT MEYERS, FL 33901
1-888-831-0404
FAX: 1-239-338-2549

OFFICE OF QUALITY MONITORING
THE JOINT COMMISSION
ONE RENAISSANCE BLVD
OAKBROOK TERRACE, IL 60181

1-800-994-6610 complaint@jointcommission.org
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