Patient Rights

As a patient of the Evansville Surgery Center, you have the right:
- Exercise your rights without being subjected to discrimination or reprisal.
- Voice grievances regarding treatment or care that is (or fails to be) furnished.
- Be fully informed about a treatment or procedure, and the expected outcome before it is performed.
- Have a surrogate (parents, legal guardian, person with medical power of attorney) exercise your rights if you are unable to do so, without coercion, discrimination or retaliation.
- Personal privacy
- Receive care in a safe setting.
- Be free from all forms of abuse or harassment.
- Know the relationship(s) of the Evansville Surgery Center to either persons or organizations that participate in the provision of your care.
- Impartial access to treatment regardless of race, religion, sex, sexual orientation, ethnicity, age or relation.
- Receive care or treatment in the Evansville Surgery Center with coercion, discrimination or retaliation.
- Know the professional status of any person providing care or service to you.
- Be fully informed of, and consent or refuse to participate, in any, unusual, experimental or research project without compromising your access to services.
- Access information contained in your clinical record.
- Know the reasons for your transfer either inside or outside of the Evansville Surgery Center.
- Access the cost, itemized when possible, of services within a reasonable period of time.
- Be informed of the source of the Evansville Surgery Center’s reimbursement for your care, and any limitations or constraints which may be places upon your care.
- Be free from unnecessary use of physical or chemical restraint and/or seclusion as a means of coercion, convenience or retaliation.
- Have pain treated as effectively as possible.

To report a complaint, notify an Evansville Surgery Center employee, or the Performance Improvement Coordinator
PO Box 2185
Evansville, IN 47728

Indiana State Department of Health
1-800-246-8909 (toll-free complaint line)
Director of Acute Services
2 North Meridian Street
Indianapolis, IN 46304

Website for the Office of Medicare Beneficiary Ombudsman: