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DO NOT Submit each class more than once. Any questions, please contact us.




Right to request restrictions: Patients have the right to request restrictions on our uses and disclosures of their health information, however, we may refuse to accept the restriction.


Right to request Confidential Communications: Patients have the right to request that we communicate with them confidentially, for example, to speak with them only in private; to send may to an address which they may designate; or to telephone at a number which they may designate. We must make every attempt to honor the Patient's request.


Right to Request an Amendment of Health Information: Patients have the right to request an amendment to their health information. Such a request must be in writing and must provide a reason for the requested amendment. We may deny a Patient's request, and if so, Patients may submit a statement of disagreement. However, we shall make every attempt to honor Patient requests regarding this manner.


Right to Request an Accounting of Disclosures of Patient Health Information: Patients have the right to request an accounting of our disclosures of their health information for purposes other than treatment, payment, and health care operations. We must make every attempt to honor a Patient's request. We are not required to provide an accounting for disclosures for more than 6 years prior to the date of such a request.


Right to Obtain a Paper copy of Notices: All Patients have the right to receive Notices in writing in the form of a paper copy. To exercise any of these rights any Patient may write or telephone the Agency office.




Every competent adult has the right to make decisions concerning his or her own health, including the right to choose or refuse medical treatment. When a person becomes unable to make decisions due to a physical or mental change, such as being in a coman or developing dementia (like Alzheimer's Disease), they are considered incapacitated. To make sure that an incapacitated person's decisions about Health Care will still be respected, the Florid legislature enacted legislation pertaining to Health Care Advance Directives (Chapter 765, Florida Statutes). The law recognizes the right of a competent adult to make an Advance Directive instructing his or her Physician to provide, withhold, or withdraw, life-prolonging procedures; to designate another individual to make treatment decisions if the person becomes unable to make his or her own decisions; and/or to indicate the desire to make an anatomical donation after death. By law, FHB is required to provide our Patients with written information concerning Health Care Advance Directives.


What is an Advance Directive?

It is a written or oral statement about how a Patient wants medical decisions made should he or she be unable to make them, and/or it can express the wish to make an anatomical donation after death. Some Patients make Advanced Directives when they are diagnosed with a life-threatening illness. Others put their wishes into writing while they are healthy, often as a part of their estate planning. Three types of Advance Directives are: A Living Will, A Health Care Surrogate Designation, and An Anatomical Donation. Patients may choose to complete one, two, or all three of these forms.


What is a Living Will?

It is a written or oral statement of the kind of medical care a Patient wants or does not want if he or she becomes unable to make their own decisions. It is called a Living Will because it takes effect while the person is still living. Patients may speak to you or to an attorney about a Living Will to be certain that it has been completed in a way that their wishes will be understood.


INFORMATION ON ADVANCE DIRECTIVES (The Patient's Right to Decide) Cont.

What is a Health Care Surrogate Designation?

It is a document naming another person as a Patient's representative to make medical decisions for him or her if they are unable to make them. Instructions about any treatments a Patient may want or do not want, similar to a Living Will, may be included. A Patient may also designate an Alternate Surrogate.


What is best?

Depending on a Patient's individual needs, they may wish to complete any one or a combination of the three types of Advance Directives.


What is an Anatomical Donation?

It is a document that indicates a Patient's wish to donate, at death, all or part of his or her body. This can be an organ and tissue donation to persons in need, or a donation of the body for training of health care workers. Patients can indicate their choice to be an organ donor by designating it on a driver's license or state ID card (at a local driver's license office), signing a uniform donor form (in the Patient's sign-up packet), or expressing their wishes in a Living Will.


Is a Patient required to have an Advance Directive under Florida law?

No, there is no legal requirement for a Patient to complete an Advance Directive. However, if a Patient has not made an Advance Directive, decisions about his or her health care or anatomical donations may be made for them by a court appointed guardian, a wife or husband, adult children, parents, adult siblings, adult relatives or close friends. The person making the decisions for the Patient on these matters may or may not be aware of the Patient's wishes. Encourage your Patients to discuss Advance Directives with the people in their lives; it will better assure that their wishes will be carried out in the way that they may want.


What is a Do Not Resuscitate form?

It is the mechanism used to inform emergency medical services personnel that the patient does not wish to have life-sustaining techniques performed in the event of respiratory or cardiac arrest. A properly completed form is signed by the Patient's Physician to document that the Patient is terminally ill. It must also be signed by the Patient or Patient's Health Care Surrogate and witnessed by two individuals. The form must be presented to rescue staff.



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