CLIENTS RIGHTS & RESPONSIBILITIES

We want you to be aware of your rights as a client of Lifespan Collaborative Services, LLC. The following is a list of your rights based on the Connecticut law called the Patients' Bill of Rights. The Patients' Bill of Rights is a section of the Connecticut state statutes (Sec. 17a‐540 et seq.). We have outlined these below and invite you to ask your provider if you have any questions about these rights. Following that, there is a list of your responsibilities to help us give you the best care we can.

I. YOUR RIGHTS

  1. Privacy & Confidentiality (See CGS 17a‐500, 17a‐688)

    You have the right to privacy and confidentiality. Records that would identify your person, manner of treatment or your diagnosis cannot be given to any other person or agency without your written consent, except as permitted by law.

  2. The Right to Humane and Dignified Treatment (See CGS 17a‐542)

    You have the right to receive humane and dignified treatment AT ALL TIMES, with full respect for your personal dignity and right to privacy. A specialized treatment plan will be developed in accordance with your needs. Any treatment plan will include, but not be limited to, reasonable notice of discharge.

  3. The Right to Be Involved in Treatment/Recovery Planning

    You have the right to be actively involved in developing your own recovery plan and to get services that provide specialized treatment suited to your disorder. With your consent, you have the right to have a person of your choice advocate for you with Lifespan Collaborative.

  4. Access to your Medical records (See CGS l7a‐548, 52‐l 46f)

    You or your attorney may have the right, upon request, to inspect your medical records. Unless your request is made in connection with litigation, your provider may refuse to disclose any portion of the record which the provider has determined would create a substantial risk that you would inflict a life‐threatening injury to self or others, experience a severe deterioration in mental state or would constitute an invasion of the privacy of another.

  5. Right to File Grievances (See CGS 17a‐45l(u))

    You have the right to file a grievance if Lifespan Collaborative Services, LLC has: 1) violated your right provided by law; 2) if you have been treated in an arbitrary or unreasonable manner; 3) denied services authorized by a treatment plan due to negligence, discrimination, or other improper reasons; 4) engaged in coercion to improperly limit your treatment choices; 5) failed to treat you in a humane or dignified manner. If you are aggrieved, you may petition the Superior Court within whose jurisdiction you reside for appropriate relief.

  6. Other Rights

    You always have the right to know your provider's credentials, you have the right to ask for a second opinion and you always have the right to question the focus of your sessions. You have a right to obtain a copy of your Protected Health Information (PHI), subjected to certain limitations prescribed by law. You have the right to end your counseling at any time, except when that treatment is required by law.

II. YOUR RESPONSIBILITIES

As a partner in your care, your responsibilities are to:

  1. Respect the dignity and privacy of others; Give your provider information that they need to serve you better;

  2. Work with your provider to develop a treatment plan and ask questions when you do not understand your treatment;

  3. Follow the treatment plans you developed with your provider;

  4. Tell your provider if you do not agree with your treatment plan;

  5. Contact your provider if you want to stop your treatment;

  6. Keep your appointments with your provider, or contact your provider if you need to cancel or reschedule your appointment, preferably at least 24 hours in advance of the appointment;

  7. Call Lifespan Collaborative Services if you move and change your address/phone number;

  8. Call Lifespan Collaborative Services if you have questions about your responsibilities;