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180 Medical Important Documents


We believe that all clients receiving services from 180 Medical should be informed of their rights. Therefore, you are entitled to:

1.  Receive reasonable coordination and continuity of services from the referring agency for home medical supplies.
2.  Receive  a  timely  response  from  180  Medical  when  medical  supplies  are  needed  or requested.
3.  Be fully informed in advance about service/care to be provided and any modifications to the Plan of Service/Care.
4.  Participate in the development and periodic revision of the Plan of service/care.
5.  Informed consent and refusal of service/care or treatment after the consequences of refusing service/care or treatment are fully presented.
6.  Be informed in advance of financial responsibility.
7.  Have one’s property and person treated with respect, consideration, and recognition of client/patient dignity and individuality.
8.  Be able to identify visiting staff members through proper identification.
9.  Voice grievances/complaints or recommend changes in policy, staff or service/care without restraint, interference, coercion, discrimination or reprisal.
10.  Choose a health care provider.
11.  Confidentiality and privacy of all information contained in the client/patient record and of Protected Health Information.
12.  Receive appropriate service/care without discrimination in accordance with physician orders.
13.  Be informed of any financial benefits when referred to an organization.
14.  Be fully informed of one’s responsibilities.
15.  Be informed of provider service/care limitations.
16.  Be informed of client rights under state law to formulate advance care directives.
17.  Be informed of anticipated outcomes of service/care and of any barriers in outcome achievement.
18. Have grievances/complaints regarding treatment or lack of respect of property investigated.
19. Be advised on 180 Medical’s policies and procedures regarding the disclosure of clinical records.


1.  Medical supplies will be used with reasonable care, not altered or modified.
2.  Client agrees to promptly report to 180 Medical any malfunctions or defects with medical supplies so that replacement can be arranged.
3.  Client agrees to use the medical supplies for the purposes so indicated and in compliance with the physician’s prescription.
4.  Client agrees to keep the medical supplies in their possession and at the address, to which it was delivered unless otherwise authorized by 180 Medical.
5.  Client agrees to notify 180 Medical of any hospitalization, change in customer insurance, address, telephone number, physician, or when the medical need for the medical supplies no longer exists.
6.  Client agrees to request payment of authorized Medicare, Medicaid, or other private insurance benefits are paid directly to 180 Medical for any services furnished by 180 Medical.
7.  Client agrees to accept all financial responsibility for medical supplies furnished by 180 Medical.
8.  Client agrees not to modify the medical supplies without the prior consent of 180 Medical.
9.  Client agrees that 180 Medical shall not insure or be responsible to the client for any personal injury or property damage related to medical supplies; including that caused by use or improper functioning of the medical supplies; the act or omission of any other third party, or by any criminal act or activity, war, riot, insurrection, fire or act of God.
10. Client understands that 180 Medical retains the right to refuse delivery of service to any client at any time.
11. Client agrees that any legal fees resulting from a disagreement between the parties shall be borne by the unsuccessful party in any legal action taken.
12. Client understands that they be informed by 180 Medical in advance of any changes in the plan of care.
13. It is the Client’s Right:  x  To be free from mental and/or physical abuse. x  To refuse experimental treatment and/or experimental drugs. x  To be treated with dignity in our Plan of Care. x  Right to receive or not receive treatment. x  Right to privacy of care
14. The Client has the right to be treated granted by their civil rights without any discrimination noted by 180 Medical.

When the client is unable to make medical or other decisions, the family should be consulted for direction.

All staff members will understand and be able to discuss the Client Bill of Rights and Responsibilities with the client and caregiver(s).

The client and caregiver(s) will also receive a copy of the DMEPOS Supplier Standards, which is included in the Client Handout forms.