While you are a patient at NCH, we will respect your rights regardless of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, gender identity or expression, or any other status protected by law.
Considerate and respectful care in a safe and secure setting.
Protection of your right to privacy and confidentiality of health, social, personal and financial information related to your medical care, as outlined in the NCH Notice of Privacy Practices.
Patients who do not want their medical information to be accessible to authorized healthcare providers through Northwest Community Hospital Care Everywhere may choose to opt out. To do so, complete the opt-out form and return it to us.
Patients who do not want authorized healthcare providers to be notified of their care at Northwest Comminity Healthcare must also opt-out of NCH PatientPing. To do so, complete the PatientPing opt-out form and return it to us.
You may request other restrictions on certain uses and disclosures of protected health information for purposes of treatment, payment and healthcare operation; however, the law does not require NCH to agree to the requested restrictions. To make the request, complete the form and return it to Northwest Community Healthcare.
Clear and concise explanations about your condition, proposed treatments and procedures, information about the outcomes of care, including unanticipated outcomes, the benefits or drawbacks of the proposed treatments, your expected recuperation and the likelihood of success of treatments or procedures.
Willingness to let you and your family take the lead in making decisions about your care and treatment.
Respect of your right to refuse care, treatment and services in accordance with law and regulation.
Information about pain and pain relief measures, and a commitment toward the prevention and/or control of pain.
Compliance with your advance directives, including withholding resuscitative services and withdrawing life-sustaining treatment.
Access to protective services, from counseling to guardianship, to help you reach your maximum level of independence.
Providers of direct care will identify themselves and their credentials.
Commitment to meeting the Center for Medicare and Medicaid Services’ Conditions of Participation regarding patient rights.
Notice of Noncoverage by Medicare or Advance Beneficiary Notice of Noncoverage (ABN) in the case of select outpatient services.
Compliance with your right to freely communicate with others to the extent that you are able.
Access to an interpreter—your own or a hospital interpreter—at no cost to you.
Access to auxiliary aids and services for the visually and hearing impaired, at no cost to you.
Assistance in obtaining financial aid or counseling.
Attentive, courteous responses to any concerns or complaints you and your family may have.
Prompt notification of your hospital admission to a family member or designated representative and your physician.
Freedom from seclusion or restraints of any kind that are not medically necessary.
Access to the information contained in your medical record within a reasonable timeframe.
We kindly ask you to:
Be considerate of your fellow patients and their families.
Provide accurate and complete information about any past illnesses, previous hospitalizations, medications and other facts that may affect your healthcare.
Request pain relief when any pain first begins, and work with your doctors or nurses to develop a pain management plan.
Advise us if you do not understand any instructions given to you.
Review the privacy notice given to you during registration and understand that we will use your name, location in the facility, general condition and religious affiliation unless you object.
Arrive as scheduled for your appointment and notify us in advance if you need to cancel or reschedule an appointment.
Provide information about your insurance or other sources of payment for your care.
Call a financial counselor at 847‑618‑4542 if you have questions or concerns about paying your hospital bill. If you are calling from a hospital telephone, dial extension 4542.
Questions or Concerns The Patient Relations Department is available to help you with any problems or concerns you might have. Your comments will be reviewed and the appropriate actions will be taken. To speak with a Patient Relations Specialist, call 847‑618‑4390.