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The patient is understood to be the person receiving medical equipment, supplies and/or services. These services will be performed without discrimination in a courteous and respectful manner by properly trained Company representatives.

PATIENT RIGHTS

  • The Company agrees to inform the patient or caregiver of any responsibilities that he/she may have in the care process including any requirements for medical supervision for the use of any equipment and any changes in his or her condition necessary to make informed decisions on product use and care.
  • The Company guarantees equipment to be delivered operating within manufacturers’ specifications and to be fully warranted to the manufacture’s current policy. Used equipment warranties, if available, are handled on an individual basis.
  • Company agrees to issue a Billing and Collection policy and brochure on services offered by the Company at the time of initial equipment set-up.
  • Company will also agree to issue fully itemized billing statements monthly that will include all charges and services generated. Exceptions may occur depending on third-party payers being billed.
  • Sales returns will be accepted in unopened packages and/or salable condition within 30 days from date of original invoice with proof of purchase. No merchandise will be accepted for return if worn next to the skin, used for sanitary or hygienic purposes, or if disposable (i.e. PAP masks, etc.). Special order items may require a non-refundable deposit.
  • Patients wishing to express their dissatisfaction, concern or discontent with any Company service should contact the Company on business days from 8:30 am to 5:00 pm. Your comments will be fully reviewed and acted upon (as necessary) for the Company. Your comments may be given without fear of reprisal by the Company, or any of its employees. The Company will, upon request, release information as to people in charge as well as ownership. Unresolved complaints may be directed to the State Department of Health.
  • The patient retains the right to refuse Company services and/or equipment and assumes full responsibility for any consequences whatsoever relating to refusal of any service ordered and delivered to the patient by a health care professional. The patient has the right to participate in all decisions regarding care of services.
  • The Company agrees to notify, the patient of impending discharge to another company and discuss options available.
  • It is understood that all patients’ personal information shall be kept strictly confidential by the Company. The patient has the right to access his/her records upon written request.
  • The Company does not discriminate against any person for any reason and complies with all applicable federal, state, county and local laws and regulations.
  • Patients always retain the right to clearly voice their dissatisfaction, concern or content with services rendered.

PATIENT RESPONSIBILITIES

  • The Company retains the right to refuse delivery of services to any patient at any time. This policy is in the interest of the health and safety of patients and Company employees.
  • Individuals signing for the patient represents that they are duly authorized to do so and that once signed, this agreement becomes binding upon the patient.
  • The patient agrees to care for, use as instructed, and return the rental equipment in good condition, normal wear and tear excepted, at the end of the rental period. The patient agrees to pay for the replacement cost of any equipment damaged, destroyed, or lost due to misuse, abuse, neglect. or theft. The patient agrees not to modify the rental equipment without the prior written consent of the Company. The patient agrees that authorized modifications shall belong to the titleholder of the equipment.
  • The patient agrees that the title to the rental equipment and all parts shall remain with the Company at all times, unless equipment is purchased and paid for in full. The patient agrees not to assign possessory right in the rental equipment or allow the use of the rental equipment by anyone other than the patient.
  • It shall be the responsibility of the patient to promptly notify the Company of any rental equipment malfunctions or defects and allow Company equipment service representative to enter the patient’s premises at all reasonable times to repair, relocate, perform regularly scheduled services, or provide adequate substitute equipment.
  • The patient agrees the Company shall not insure or be responsible to the patient for any personal injury or property damage related to any equipment, including that caused by use or improper functioning of the equipment, the act or omission of any other third party, or by any criminal act or activity, riot, insurrections, fire or act of God. Maintenance of a clean, safe environment and electrical supply is the responsibility of the patient and/or caregiver. When applicable, the patient will receive safety precautions.
  • The patient agrees that if they or their respective insurance company (s) fail to make payment on any rental or purchase (30) days after it becomes due, Company shall have the right to re-acquire all equipment or supplies
  • It is understood that the term of all rentals shall repeat on the monthly anniversary date of the original rental and that no less than a full month charge shall be charged. The patient or caregiver shall be responsible for notifying the Company of changes in medical status, of the patient (i.e. re-hospitalization, change of residence, etc.).
  • Any legal fees resulting from a disagreement between the parties shall be borne by the unsuccessful party in any legal action taken.