Your Rights & Responsibilities

• Be treated with dignity, courtesy, and respect at all times by all staff.
• Receive services free from discrimination based on race, color, national origin, language, age, disability, sex, gender identity, sexual orientation, religion, socioeconomic status, or any other protected characteristic.
• Have your cultural values, beliefs, preferences, and lived experience respected in all aspects of your care.
• Receive care in an environment that supports your positive self-image and dignity.
• Receive services in an environment that minimizes distractions and supports therapeutic participation.

• Have your personal health information kept confidential and protected in accordance with federal and state law, including HIPAA.
• Have your clinical record stored and transmitted using secure, HIPAA-compliant technology.
• Access and request amendment of your clinical record as permitted by law, and receive information about how your information may be used or disclosed.
• Have your information disclosed only with your authorization or as otherwise required by law.
• Have recordings, photographs, or other images made only with your informed consent and in compliance with applicable law.

• Receive services through secure, encrypted platforms designed to protect your confidentiality.
• Be informed of the benefits, limitations, and potential risks of telehealth services before they begin.
• Receive clear instructions for accessing telehealth sessions, including technical support if issues arise.
• Verify the identity and credentials of the provider delivering your services.
• Receive information about emergency procedures that apply if a safety concern arises during a telehealth session, including how staff may contact emergency services in your geographic area if there is concern for your immediate safety.

• Receive all information related to your care in a manner tailored to your language and ability to understand.
• Access qualified interpreter and translation services at no cost if you have limited English proficiency.
• Receive communication accommodations if you are deaf, hard of hearing, have vision loss, or have cognitive or other communication needs — including technology assistance for telehealth participation.
• Know the name, professional role, and qualifications of the staff members responsible for your care and services.
• Receive information about the program rules that apply to your services.

• Actively participate in the development and revision of your treatment plan, including setting your own care goals.
• Receive clear information about recommended services, including their goals, potential benefits, risks, and reasonable alternatives — including the risks of not receiving the proposed care — before consenting to treatment.
• Provide informed consent before services begin, and withdraw consent at any time as permitted by law.
• Refuse care, treatment, or services in accordance with law and regulation. If you choose to refuse, staff will fully discuss the risks, benefits, and available alternatives with you.
• Have family members or other support persons involved in your care decisions when you choose.
• Request a second opinion or consultation from another qualified provider.
• Request an internal review of your plan of care, treatment, or services.
• Receive information about your progress and the outcomes of your care, including any unanticipated events related to your services.
• Receive information about charges for which you will be responsible prior to the start of services, whenever possible.
• Receive information about how your care relates to any financial arrangements the organization may have — care is always provided based solely on your clinical needs.

When a Surrogate Decision-Maker Is Involved

• If you are unable to make decisions about your care, or choose to delegate decision-making, your legally authorized surrogate decision-maker has the right to participate in your care decisions in the same manner as you.

Research & Clinical Trials

• Receive all required information to decide whether to participate in any research, investigation, or clinical trial, including that refusing or withdrawing at any time will never jeopardize your access to care.

• Receive services in an environment that is safe and free from abuse, neglect, harassment, exploitation, and retaliation.
• Have all allegations or suspected incidents of abuse, neglect, or exploitation investigated promptly and reported to appropriate authorities as required by law.
• Receive care based solely on your clinical needs, regardless of your payment source or any financial arrangements the organization may have with staff.

• File a complaint or grievance about your services, staff conduct, or any aspect of your care — verbally, in writing, or electronically — without fear of retaliation or negative impact on your services.
• Receive acknowledgment that your complaint has been received and, when appropriate, written notification of the outcome.
• Have your grievance reviewed and, when possible, resolved in a timely manner according to Kindbridge Behavioral Health's grievance policy.
• Receive contact information for applicable state regulatory or licensing authorities if your concern cannot be resolved through the organization's internal process.
• Request a personal advocate and receive information about how advocacy services work.
• Access protective and advocacy services in your community when needed, including referrals when Kindbridge does not directly provide those services.

In accordance with The Joint Commission Standard LD.04.02.01 (EP 5) and LD.04.02.03 (EP 5 & EP 7), Kindbridge Behavioral Health is committed to full transparency about how financial relationships may relate to the care and services you receive.

• Your care is always based on your clinical needs.
  
  Decisions about the initiation, continuation, modification, or termination of your services are never influenced by compensation arrangements, financial incentives, risk-sharing agreements, or the financial interests of staff or the organization.
• No staff member is financially rewarded for providing more or fewer services than you need.
  
  Kindbridge Behavioral Health does not structure compensation, bonuses, or productivity incentives in any manner that could cause clinicians or staff to over- or under-provide services.
• You have the right to receive information about charges.
  
  You will be informed of any charges for which you are responsible prior to the start of services, whenever possible, including co-pays, deductibles, fees, and any other costs you may incur.
• Financial relationship disclosures are available upon request.
  
  You may request information at any time about the relationship between the care, treatment, or services provided to you and any financial incentives, compensation arrangements, or risk-sharing agreements that may exist. This information will be provided in a timely manner.
• Organizational relationships are reviewed annually.
  
  Kindbridge Behavioral Health conducts an annual review of its relationships with other providers, educational institutions, manufacturers, payers, and referral sources to identify and resolve any conflicts of interest that could compromise the quality or safety of your care.

Request Financial Relationship Information

To request a copy of financial relationship disclosures or information about how compensation arrangements relate to your care, contact us at [email protected]. Requests will be acknowledged and fulfilled in writing. This information is also available through your care coordinator at any time.

As an individual receiving services, we ask that you support your own care and the wellbeing of others by:

You have the right to report concerns about your safety or the quality of your care to Kindbridge Behavioral Health management or directly to The Joint Commission. No disciplinary or punitive action will ever be taken against you for making a good-faith report.

State Behavioral Health Regulatory Agencies — All 50 States & D.C.

Kindbridge Behavioral Health is authorized to provide services nationally. If your concern cannot be resolved internally, you may contact the behavioral health regulatory agency in the state where your services are delivered.