Records

Patient Bill of Rights

"*" indicates required fields

MM slash DD slash YYYY

Patient Bill of Rights

According to the Pennsylvania code 5100.53 Bill of Rights for patients, all patients are to receive notice of his/her Bill of Rights. The following are the Bill of Rights as set forth in PA Code 5100.53:

  1. You have the right to unrestricted and private communication inside and outside this facility including the following rights:
    1. To a peaceful assembly and to join with other patients to organize a body of or participate in patient government when patient government has been determined to be feasible by the facility.
    2. To be assisted by any advocate of your choice in the assertion of your rights and to see a lawyer in private at any time.
    3. To make complaints and to have your complaints heard and adjudicated promptly.
    4. To receive visitors of your own choice at reasonable hours unless your treatment team has determined in advance that a visitor or visitors would seriously interfere with your or others’ treatment or welfare.
    5. To receive and send unopened letters and to have outgoing letters stamped and mailed. Incoming mail may be examined for good reason in your presence for contraband. Contraband means specific property which entails a threat to your health and welfare or to the hospital community.
    6. To have access to telephone designated for patient use.
  2. You have the right to practice the religion of your choice or to abstain from religious practices.
  3. You have the right to keep and to use personal possessions, unless it has been determined that specific personal property is contraband. The reasons for imposing any limitation and its scope must be clearly defined, recorded and explained to you. You have the right to sell any personal article you made and keep the proceeds from its sale.
  4. You have the right to handle your personal affairs including making contracts, holding a driver’s license or professional license, marrying, or obtaining a divorce and writing a will.
  5. You have the right to participate in the development and review of your treatment plan.
  6. You have the right to receive treatment in the least restrictive setting within the facility necessary to accomplish the treatment goals.
  7. You have the right to be discharged from the facility as soon as you no longer need care and treatment.
  8. You have the right not to be subjected to any harsh or unusual treatment.
  9. If you have been involuntarily committed in accordance with civil court proceedings, and you are not receiving treatment, and you are not dangerous to yourself or others, and you can survive safely in the community, you have the right to be discharged from the facility.
  10. You have a right to be paid for any work you do which benefits the operation and maintenance of the facility in accordance with existing Federal wage and hour regulations.

By signing below, I acknowledge that I have read and understand the Patient Bill of Rights.

MM slash DD slash YYYY
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.