19110 Darvin Drive, Mokena, IL 60448
p 708.478.8889 f 708.478.8507

Patient Rights and Responsibilities

The Center for Minimally Invasive Surgery recognizes the basic human rights of patients.

Patients, patient’s representative or surrogate, have the right to:

  1. Be treated with respect, consideration and dignity. Be provided appropriate personal privacy and receive care in a safe setting.
  2. Access treatment without regard to race, ethnicity, national origin, color, creed/religion, sex, age, mental disability, or physical disability. Any treatment determinations based on a person’s physical status or diagnosis will be made on the basis of medical evidence and treatment capability
  3. Be free from all forms of abuse or harassment and be free from any act of discrimination or reprisal.
  4. Expect the facility to establish a process for prompt resolution of patients’ grievances and to inform each patient whom to contact to file a grievance. Grievances/complaints and suggestions regarding treatment or care that is (or fails to be) furnished may be expressed at any time.
  5. Exercise your rights without being subjected to discrimination or reprisal.
  6. Be fully informed about a treatment or procedure and the expected outcome before it is performed.
  7. Provided, to the degree known, information concerning the diagnosis, evaluation, treatment, and prognosis. When it is medically inadvisable to give such information to a patient, the information is provided to a person designated by the patient or to a legally authorized person.
  8. If a patient is adjudged incompetent under applicable state laws, the rights of the patient are exercised by the person appointed under state law to act on the patient’s behalf.
  9. If a state court has not adjudged a patient incompetent, any legal representative or surrogate designed by the patient in accordance with state law may exercise the patient’s rights to the extent allowed by state law.
  10. Patients are informed of their right to change providers if other qualified providers are available.
  11. Have these rights provided prior to the start of the surgical procedure- to the patient, the patient’s representative or the patient’s surrogate with verbal and written notice of the patient’s rights in a language and manner that ensures understanding of all the rights. See CMIS Notice of Nondiscrimination.
  12. Contact information for the Medicare Beneficiary Ombudsman, see below.
  13. Information is available to patients concerning:
    • These patient rights
    • Patient conduct, responsibilities and participation
    • Services provided at CMIS
    • Provisions for after-hours and emergency care
    • Fees for services and payment policies
    • Advance Directives-(regarding do-not-resuscitate), CMIS will always attempt to resuscitate and transfer to a hospital.
    • Credentials of health care professionals. Malpractice coverage is required of all credentialed providers.
    • The grievance process regarding treatment for care that is or fails to be furnished.
  14. A listing of physicians who have financial interest or ownership in the facility.
  15. Have the patient rights and responsibilities posted in a place that is likely to be noticed.
  16. Written information on advance directives including official state forms if requested.
  17. The right to make informed decisions regarding care, be informed of health status, be involved in planning and treatment.
  18. Be able to request or refuse treatment after being informed of the risks and benefits and alternatives to treatment.


Patient Responsibilities include:

  1. Inform staff of any Advance Directives.
  2. Ask questions if instructions and information are not understood and report any changes in his/her condition.
  3. Provide complete and accurate information about health, medications, allergies or sensitivities.
  4. Follow the treatment plan prescribed by your provider and participate in your care.
  5. Provide a responsible adult to transport you from the facility and remain with you for 24 hours, if required by your provider.
  6. Accept personal financial responsibility for any charges not covered by your insurance.
  7. Be respectful of all the healthcare professionals and staff, as well other patients.
  8. The right to change providers if other qualified providers are available
  9. Cooperate in planning his/her discharge


If you have any concerns about the care being provided at CMIS, you may contact the following verbally or in writing:

Center for Minimally Invasive Surgery                    

Privacy Officer: 1-708-478-8889

19110 Darvin Drive

Mokena, IL 60448

Illinois Dept. of Public Health

525 West Jefferson

Springfield, IL 62761


Center for Medicare & Medicaid Services

7500 Security Blvd

Baltimore, Maryland 21244-1850


Ombudsman website: