Patient Rights & Policies
 


Release of Information Form

Click here to Download the Release of Information Form (PDF)


Patients Rights and Notice of Non-Discrimination

Click here to Download the Patients Rights and Notice of Non-Discrimination (PDF)

 

Access – You have the right to:

  • Receive medically necessary treatment and the appropriate level of care regardless of age, race, ethnicity, religion, culture, color, national origin, language, physical or mental disability, socioeconomic status, sex, sexual orientation, and gender identity or expression, or source of payment for care. 
  • Other facility services for your needs such as social services (including protective services), spiritual health services, financial counseling, etc. 
  • View your medical and billing records within a reasonable time frame as permitted by law and access, request amendment to and obtain information on the disclosures of your medical records according to law and regulations.  
  • Accept or refuse medical care and be informed of the possible consequences of any such decision. 
  • Have a family member or representative of your choice and your own physician promptly notified of your admission to the hospital. 
  • Receive interpreting services and auxiliary aids and services at no cost to you. 
 

Respect – We will:

  • Listen to you and treat you with respect.  
  • Respect your cultural and personal values, beliefs, and preferences. 
  • Talk with you and answer any questions that you may have about your plan of care. 
  • Respect your right to confidentiality and the privacy of your medical records. 
  • Tell you who we are, why we have entered your room and our role as a part of your care team. 
  • Tell you why you are here and how we will be able to help you feel better. 
  • Provide you with the highest level of privacy and dignity that we can.
 

Safety – We will:

  • Care for you in a safe and clean environment. 
  • Protect you from all forms of abuse, neglect, or harassment. 
  • Provide care that is free from restraint or seclusion, except when restraint is needed to protect your safety or the safety of our staff. 
 

Involvement in Your Care – You have the right to:

  • Receive communication in a way that is easy for you to understand. 
  • Be involved in treatment decisions, your care and discharge plans, make informed decisions and be informed of unanticipated outcomes. 
  • Have any concerns regarding care or treatment reviewed and addressed. 
  • Have your pain managed.  
  • Make end-of-life decisions and request that staff document and follow those requests.  
  • Designate someone to speak on your behalf if you are unable to make decisions about your care. 
  • Refuse to participate in research or experimental treatments and clinical trials. 
 

Your visitors – You have the right to:

  • Have visitors of your choice, including a spouse, domestic partner, same-sex domestic partner, family member or friend. 
  • Withdraw your consent to be visited by any visitor at any time. 
 

Voice Concerns

If you feel that we have not honored your rights as a patient, please notify your doctor or nurse so we can work together to resolve your concerns. 
You may also contact Guest Services: 
Hospital Hill: 816-404-3325
Lakewood: 816-404-7840
Behavioral Health: 816-404-6032 
 
You can file a grievance in person or by mail, fax, or email:
Barbara Zubeck 
2301 Holmes St., Kansas City, Missouri 64108 
816-404-3485, Fax# 816-404-3601 
This email address is being protected from spambots. You need JavaScript enabled to view it.

If you need help filing a grievance, Barbara Zubeck is available to help you. 

After regular business hours, please contact the Director of Shift Operations by calling the operator at 816-404-1000 (Hospital Hill) or 816-404-7000 (Lakewood). 

You also have the option of contacting an outside organization with your concerns: 
Missouri Department of Health and Senior Services,
Health Standards and Licensure Section
P.O. Box 570
Jefferson City, Missouri 65102
573-751-6303 or 800-392-0210 
 
Missouri Department of Mental Health
P.O. Box 687
Jefferson City, Missouri 65102
800-364-9687 
 
The Joint Commission
Office of Quality Monitoring 
1 Renaissance Boulevard
Oakbrook Terrace, Illinois, 60181
800-994-6610 
 
 
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.
hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: 
 
U.S. Department of Health and Human Services 
200 Independence Avenue, SW 
Room 509F, HHH Building 
Washington, D.C. 20201 
800-368-1019, 800-537-7697 (TTY/TDD) 
 
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. 
 

Your Responsibilities as a Patient or Visitor

  • So that we can provide you with patient-centered, quality care and services, we ask that you always: 
  • Keep the hospital a quiet and restful place. 
  • Respect the rights, privacy and property of other patients and staff. Follow TMC’s rules and regulations, including the tobacco, alcohol-free and drug-free policy. 
  • Refrain from foul, threatening or inappropriate language. 
  • Refrain from hitting or threatening a family member, 
  • a patient or staff. 
  • Refrain from bringing a weapon into the facility. 
  • Ask questions of your healthcare team when you don’t understand something. 
  • Adhere to the care plan that your medical team has developed for you. 
  • Be on time for your medical appointments or call in advance to reschedule. 
  • Provide a copy of your advance directive at every visit. 
  • Fulfill your financial obligations for your healthcare as promptly as possible. 
  • Provide accurate and complete information in order for TMC to receive payment for services. 
 

Your Personal Belongings

TMC does not assume responsibility for the loss of any personal belongings brought with you to TMC.  Please send all valuable items such as cell phones, jewelry, watches, money and credit cards home.  If you have personal belongings you are unable to send home, inform staff who will contact the TMC Security Department. 
 

Interpreting Services 

 
ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 816-404-3280 (TTY: 816-404-0002). 
 
 
Spanish
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 816-404-3280 (TTY: 816-404-0002). 
 
 
Chinese
*`٧N!G&p*G١z(د٪خءcإى$$$م!A١z٪i٪H'K٦O❊ْ١o؛y(٪٤)'U*A٠ب!C=ذ-P٩q 
816-404-3280!]TTY!G816-404-0002!^!C 
 
 
Vietnamese
CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 816-404-3280 (TTY: 816-404-0002). 
 
 
Serbo-Croatian
OBAVJEŠTENJE:  Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno.  Nazovite 816-404-3280 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 816-404-0002). 
 
 
German
ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.  Rufnummer: 816-404-3280 (TTY: 816-404-0002). 
 
 
Arabic 
ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 816-404-3280 (رقم هاتف الصم والبكم: 816-404-0002). 
Korean 816-404-3280 (TTY: 816-404-0002) 
 
 
Russian
ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 816-404-3280 (телетайп: 816-404-0002). 
 
 
French
ATTENTION :  Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.  Appelez le 816-404-3280 (ATS : 816-404-0002). 
 
 
Tagalog
PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa 816-404-3280 (TTY: 816-404-0002). 
 
 
Pennsylvania German / Dutch
Wann du schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 816-404-3280 (TTY: 816-404-0002). 
 
 
Persian (Farsi)
توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با  816-404-3280 (TTY: 816-404-0002) تماس بگیرید. 
 
 
Cushite-Oromo
XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 816-404-3280 (TTY: 816-404-0002). 
 
 
Portuguese
ATENÇÃO:  Se fala português, encontram-se disponíveis serviços linguísticos, grátis.  Ligue para 816-404-3280 (TTY: 816-404-0002). 
 
 
Amharic
ማስታወሻ:  የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 816-404-3280 (መስማት ለተሳናቸው: 816-404-0002).