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Customer’s Bill of Rights and Responsibilities

As a client of High Touch Pharmacy, you have the right to:

  • • Be fully informed in advance about service/care to be provided, as well as any modifications to the care/service plan.
  • • Participate in the development and periodic revision of the plan of care/service.
  • • Refuse care or treatment after the consequences of refusing care or treatment are fully presented.
  • • Be informed, in advance of care being provided, of the charges, including payment for care/service expected from third parties and any charges for which you will be responsible.
  • • Voice grievances or complaints regarding treatment or care, or recommended changes in policy, staff, or care/service without restraint, interference, coercion, discrimination, or reprisal.
  • • Choose a healthcare provider.
  • • Have grievances or complaints regarding treatment or care that is (or fails to be) furnished investigated.
  • • Expect confidentiality and privacy of all information related to your care, as required by law.
  • • Be advised on High Touch Pharmacy’s Notice of Privacy Practices regarding the disclosure of clinical records.
  • • Receive appropriate care without discrimination in accordance with physician orders.
  • • Be informed of any financial benefits when referred to an organization.
  • • Be fully informed of your responsibilities.
  • • Receive information about the scope of services that Walgreens Specialty Pharmacy will provide and specific limitations on those services.
  • • Be informed of anticipated outcomes of care and of any barriers in outcome achievement, as applicable to the service provided. Be able to identify the staff member with whom you communicate and their job title, and have the right to speak with a pharmacist or supervisor of the staff member if requested.
  • • To know about philosophy and characteristics of the patient management program.
  • • To have personal health information shared with the patient management program only in accordance with state and federal law.
  • • To identify the staff member of the program and their job title, and to speak with a supervisor of the staff member if requested.
  • • The right to speak with a healthcare professional, such as a pharmacist.
  • • To receive information about the patient management program.
  • • To receive administrative information regarding changes in or termination of the patient management program.
  • • To decline participation, revoke consent or become unenrolled at any point in time.

As a client of High Touch Pharmacy, you have the responsibility to:

  • • Remain under a doctor’s care while receiving services.
  • • Provide the pharmacy with a complete and accurate health history.
  • • Notify the pharmacy of any changes in insurance coverage.
  • • Provide all requested insurance and financial records.
  • • Sign the required agreements and releases for service and insurance billing.
  • • Participate in your care plan by asking questions and following instructions.
  • • Accept the consequences for any refusal of treatment or choice of noncompliance.
  • • Provide a safe home environment in which your care can be given.
  • • Cooperate with your doctor and other caregivers.
  • • Assume responsibility for damaged, lost, or unreturned home medical equipment once in your possession.
  • • Notify the pharmacy of any problems or dissatisfaction with care.
  • • To submit any forms that is necessary to participate in the program, to the extent required by law.
  • • To give accurate clinical and contact information and to notify the Connected Care patient management program of changes in this information.
  • • To notify their treating provider of their participation in the Connected Care patient management program, if applicable