THE ACCESSIBILITY & MOBILITY EXPERTS
P: (317) 830-6562
F: (317) 830-6585
4023 Heiney Road, Suite C
Indianapolis, IN 46241
Responsibilities of the Patient
To provide complete and accurate information concerning your present health, medication, allergies, etc. when The Lift Man LLC appropriates to your care/service.
To inform a staff member, as appropriate, of your health history, including past hospitalizations, illnesses, injuries, etc.
To involve you, as needed and as able, in developing, carrying out, and modifying your home care service plan, such as properly cleaning and storing your equipment and supplies.
To review The Lift Man LLC’s safety materials and actively participate in maintaining a safe environment in your home.
To request additional assistance or information on any phase of your health care plan you do not fully understand.
To notify your attending physician when you feel ill, or encounter any unusual physical or mental stress or sensations.
To notify The Lift Man LLC when you will not be home at the time of a scheduled home appointment.
To notify The Lift Man LLC prior to changing your place of residence or your telephone number.
To notify The Lift Man LLC when encountering any problem with equipment or service.
To notify The Lift Man LLC if you are to be hospitalized.
To make a conscious effort to properly care for equipment supplied and to comply with all other aspects of the home health care plan developed for you.
Patient Bill of Rights
Responsibilities of The Lift Man LLC
Be fully informed in advance about service/care to be provided and any modifications to the service/care plan
Participate in the development and periodic revision of the plan of service/care.
Informed consent and refusal of service/care or treatment after the consequences of refusing service/care or treatment are fully presented.
Be informed both orally and in writing, in advance of the charges, including payment for service/care expected from third parties and any charges for which the client/patient will be responsible for.
Have one’s property and person treated with the upmost respect, considerations, and recognition of client/patient dignity and individuality.
Be able to identify visiting staff members through proper identification.
Voice grievances/complaints regarding treatment or care, lack of respect of property or recommend changes in policy, staff or service/care without restraint, interference, coercion, discrimination or reprisal.
Have grievances/complaints regarding treatment or care that is (or falls to be) furnished, or lack of respect of property investigated.
Choose a health care provider.
Confidentiality and privacy of all information contained in the client/patient record and of Protected Health Information.
Be advised on agency’s policies and procedures regarding the disclosure of clinical records.
Receive appropriate service/care without discrimination when referred to an organization.
Be informed of any financial benefits when referred to an organization.
Be fully informed of one’s responsibilities.
Be informed of provider service/care limitations.
Be informed of client/patient rights under state law to formulate advance care directives.
The Lift Man LLC has made it a goal to provide nothing but the highest quality of services to our patients; therefore your concerns are The Man LLC’s concerns. If you have any concerns about the services, you are receiving from The Lift Man LLC we would like to hear from you.
Within five(5) days of receiving a complaint you will be contacted by telephone, email, fax or letter that The Lift Man LLC has received to complaint. Within fourteen(14) calendar days we will provide written notification of the results of your inquiry and resolution.
We have also provided a Hotline number if you may have a concern regarding fraud and abuse or any treatment of services provided to you by The Lift Man LLC.
Indiana Attorneys General’s Office 1-800-382-1039 The Lift Man LLC.