Patient Rights and Responsibilities

As a patient, you have rights. Please take a moment to read the following information.

Your rights are important to us

There are laws in place that are designed to protect you as a patient. These patient rights include — but are not limited to — privacy practices and informed consent. If you need medical care, your health care provider must provide you with the information you need to make an informed decision. Also, your privacy must be secured, which includes medical records as well as personal privacy.

As a patient under our care, Effingham Ambulatory Surgery Center makes every effort to ensure your rights are respected, honored, and protected. The attached links are to documents that — 

  • provide you with your rights and responsibilities relating to your surgery.
  • describe how to file a grievance, if desired.
  • provide information concerning physician ownership of our center.
  • set forth our center’s policy with respect to advance directives.

Click the link below to download the Patient Rights and Responsibilities Form:

Patient Rights and Responsibilities Form

Click the link below to read our Nondiscrimination Notice:

Nondiscrimination Notice


We invite you to learn more about your rights and responsibilities as a patient and take charge of your healthcare experience.

Need more information?

If you have any other questions regarding your rights and responsibilities, don’t hesitate to call us and one of our professional team members will be happy to assist you. We want you to be as informed as possible when you make your medical decisions. Effingham Surgical Center is here to help!

Additional resources that may answer questions you have about an insurance-based bill of rights are below:

Affordable Care Act

Medicare Rights

We are partnered with local physicians, and accredited by Accreditation Association for Ambulatory Health Care. 
We are fully licensed by the state of Illinois and are Medicare certified.


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