Patient Rights & Responsibilities

The rights listed below reflect federal baseline protections, including the Centers for Medicare and Medicaid Services Conditions of Participation patient bill of rights at 42 CFR §482.13, the HIPAA Privacy Rule at 45 CFR Part 164, Section 1557 of the Affordable Care Act, the Americans with Disabilities Act, the federal No Surprises Act, and Texas state law, including the Texas Medical Practice Act and Texas Medical Board rules.

These rights apply to every visit, in person or by telemedicine, and to every interaction with our team, from scheduling through billing.

You have the right to be treated with dignity and respect, free from discrimination on the basis of race, color, national origin, age, disability, sex (including pregnancy, sex stereotypes, sexual orientation, and gender identity), religion, source of payment, or any other status protected by law.

For details, including how to file a civil-rights grievance, see our Non-Discrimination Notice.

You have the right to receive, in language you understand:

• Your diagnosis and the clinical reasons behind it.
• The treatment options we recommend, including reasonable alternatives.
• The expected benefits, risks, and side effects of each option.
• The expected prognosis with and without treatment.
• The expected cost of treatment, including a written Good Faith Estimate when you are uninsured or self-paying.
• The names and roles of every clinician involved in your care.
• Information about wound photographs, skin substitutes, and any other regulated products used in your care.

You can ask questions at any time and ask us to explain any item again. If something is unclear, please tell us.

You have the right to make decisions about your care, including the right to refuse a recommended treatment after you understand the consequences. We obtain your informed consent before procedures, before applying skin substitutes or other biologics, and before the first telemedicine visit.

You also have the right to:

• Use an advance directive, including a directive to physicians (living will), a medical power of attorney, or an out-of-hospital do-not-resuscitate order. If you have one, please share a copy and we will keep it in your record.
• Designate a person to make medical decisions for you if you cannot.
• Withdraw consent at any time, even after a treatment has begun, when it is medically safe to do so.
• Receive a clear explanation of any procedure before it is performed.

For more on Texas advance-directives law, see Texas Health & Safety Code Chapter 166.

If you have a concern about the care you received, the conduct of a team member, billing, or the way you were treated, you can file a grievance with us. We use the same internal process for civil-rights complaints and for other concerns.

How to File

• In person, by phone, by mail, or by email to the contact below.
• We can help you write the grievance down and read it back to you.
• Tell us what happened, when, where, who was involved, and what outcome you would like.

How We Respond

• We will acknowledge your grievance as soon as we reasonably can.
• We will investigate and give you a written decision in a reasonable time. If your grievance is complex, we may need more time and will tell you why.
• You can ask us to review the decision; send your appeal within 30 days and Dr. Hina Rizvi will respond in writing.
• We will not retaliate against you, refuse care, or change the care we provide because you filed a grievance.

You have the right to seek a second opinion at any time and to transfer your care to another provider whenever you choose. We will:

• Send copies of your record (or a clinical summary, if you prefer) to the new provider promptly and at no cost when the records are sent provider-to-provider for continued care.
• Continue to provide care during a reasonable transition period so you are not left without coverage for an active wound.
• Coordinate with home-health and DME suppliers so your equipment and dressings continue without interruption.

You have the right to free language assistance if your primary language is not English, and to free aids and services if you have a disability, in line with Section 1557 of the Affordable Care Act, the Americans with Disabilities Act, and Section 504 of the Rehabilitation Act.

• Qualified interpreters during in-person and telemedicine visits, including over the phone.
• Materials in alternate formats (large print, accessible PDF, audio, plain-language summary).
• Wheelchair-accessible exam rooms, restroom, and parking.
• Service-animal access throughout patient-facing areas of the clinic.

See our Non-Discrimination & Accessibility Notice for the full list of accommodations and how to request them.

We protect your information, but a few situations require us to report by law. We tell you about these limits up front so you can make informed decisions.

• Suspected child abuse or neglect. Texas Family Code §261.101 requires us to report to the Texas Department of Family and Protective Services.
• Suspected abuse, neglect, or exploitation of an elderly or disabled adult. Texas Human Resources Code §48.051 requires us to report.
• Certain injuries. Texas Health & Safety Code §161.041 requires us to report some gunshot and stab wounds to law enforcement.
• Communicable diseases. Texas Health & Safety Code Chapter 81 and public-health rules require us to report certain conditions to the Texas Department of State Health Services.
• Threats of imminent harm. When a credible threat of serious imminent harm exists, we may share the minimum information necessary with the people in a position to help.

We are required to make these reports and cannot agree to withhold them. We will only share what the law requires.

We take clinical photographs of your wound at most visits as part of your medical record. These are used for treatment, payment, and health-care operations and do not require a separate authorization, as explained in the Clinical Photography section above.

If we ever ask to use an identifiable photograph for marketing, education, or social media, we will get your written authorization first. The authorization is separate, narrowly scoped, and you can revoke it at any time, in writing. Refusing to authorize marketing use will not affect your care.

Your care works best when we work together. We ask that you:

• Give us accurate, complete information about your medical history, current medications, allergies, supplements, and any other treatments you are receiving.
• Tell us about advance directives, durable powers of attorney, and any other legal documents that affect your care.
• Follow the care plan we agree on together. If something is not working at home, tell us so we can adjust.
• Keep your appointments or give us as much notice as possible if you need to reschedule, so we can offer the slot to another patient.
• Treat our team and other patients with respect. We do not tolerate threats, harassment, or discrimination toward staff or other patients.
• Pay for the care you receive or contact our billing team if you cannot, so we can discuss options.
• Bring a list of your medications and any DME supplies you are using.

To exercise any of the rights on this page, contact us using any of the channels below. We will not retaliate against you, refuse care, or change the care we provide because you raised a concern, filed a grievance, or asked us to do something you have a right to ask for.

Patient Advocate

Dr. Rizvi Wound Care

7709 San Jacinto Place, Suite 100, Plano, TX 75024

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Phone: 972-491-1200

Email: Info@DrRizviWoundCare.com

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