Patient Rights and Responsibilities

You may make a written request to us to do one or more of the following concerning your PHI received by us or our Business Associates:

  1. Information Disclosure. Consumers have the right to receive accurate, easily understood information and some require assistance in making informed health care decisions about their health plans, professionals, and facilities.
  2. Choice of Providers and Plans. Consumers have the right to a choice of health care providers that is sufficient to ensure access to appropriate high-quality health care.
  3. Access to Emergency Services. Consumers have the righUsMt to access emergency health care services when and where the need arises. Health plans should provide payment when a consumer presents to an emergency department with acute symptoms of sufficient severity — including severe pain — such that a “prudent layperson” could reasonably expect the absence of medical attention to result in placing that consumer’s health in serious jeopardy, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part.
  4. Participation in Treatment Decisions. Consumers have the right and responsibility to fully participate in all decisions related to their health care. Consumers who are unable to fully participate in treatment decisions have the right to be represented by parents, guardians, family members, or other conservators.
  5. Respect and Nondiscrimination. Consumers have the right to considerate, respectful care from all members of the health care system at all times and under all circumstances. An environment of mutual respect is essential to maintain a quality health care system.
  6. Confidentiality of Health Information. Consumers have the right to communicate with health care providers in confidence and to have the confidentiality of their individually identifiable health care information protected. Consumers also have the right to review and copy their own medical records and request amendments to their records.
  7. Complaints and Appeals. All consumers have the right to a fair and efficient process for resolving differences with their health plans, health care providers, and the institutions that serve them, including a rigorous system of internal review and an independent system of external review.
  8. Consumer Responsibilities. In a health care system that protects consumers’ rights, it is reasonable to expect and encourage consumers to assume reasonable responsibilities. Greater individual involvement by consumers in their care increases the likelihood of achieving the best outcomes and helps support a quality improvement, cost-conscious environment.
  9. How to File a Complaint or Grievance: If you or a family member feels that there is a need to file a complaint or grievance against Strive Medical for any reason, you may do so by mailing a letter to the corporate office at 8428 Sterling St Ste B, Irving, TX 75063. You may also submit a complaint or grievance via our website.
  10. Business Associates — Your PHI may be subject to outside review by one of our business associates for billing or supplying purposes. Strive Medical maintains business agreements regarding HIPAA laws with all of its business associates.
    Although Strive Medical will utilize its best efforts to comply with your request, we may legally deny your request in certain circumstances. We will notify you of the reason for the denial and you will get a chance to respond. We may not deny a request to communicate with you in confidence by a different means or location if the current means or location used by us endangers you. Your request to communicate by a different means or location must be in writing, include a statement that discloses how the current means of communication could endanger you. Specifically state the requested means or location by which you would like us to communicate with you in the future. If you feel your privacy rights have been violated, you may file a written complaint to the below address or submit a complaint via our website.

Strive Medical
8428 Sterling St Ste B • Irving, TX 75063
Telephone Number: 1-888-771-9229
www.strivemedical.com