Patient Management Rights and Responsibilities

Patient Management Program

Rights and Responsibilities

For patients participating in the

Clinical Therapy Management Program



  • The right to know about the philosophy and characteristics of the patient management program


  • The right to have personal health information shared with the patient management program only in accordance with state and federal law


  • The right to identify the staff member of the program and their job title, and to speak with a supervisor of the staff member if requested


  • The right to receive information about the patient management program


  • The right to receive administrative information regarding changes in or termination of the patient management program


  • The right to decline participation, revoke consent, or dis-enroll at any point in time


  • The responsibility to submit any forms that are necessary to participate in the program, to the extent required by law


  • The responsibility to give accurate clinical and contact information and to notify the patient management program of changes in this information


  • The responsibility to notify their treating provider of their participation in the patient management program, if applicable

              PM Rights and Responsibilities.pdf


Last Updated: 5/6/2016
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