Patient Rights and Responsibilities

To ensure the highest quality of care possible, as a patient receiving services from Alto Pharmacy, you should understand your rights and responsibilities involved in your own plan of care.

Patient Rights

To select those who provide you with Pharmacy services, whether that be Alto Pharmacy or an alternative.To know about the philosophy, characteristics and scope of the services Alto Pharmacy provides.To be fully informed in advance about care/service to be provided.

The right to identify the staff member of Alto Pharmacy and their job title, and to speak with a supervisor of the staff member if requested.

To be informed, both orally and in writing, in advance of service being provided, of the charges, including payment for service expected from your insurance or other third-parties and any charges that you will be responsible for.

To receive administrative information regarding changes in or termination of Alto Pharmacy services.

To receive the appropriate or prescribed services in a professional manner without discrimination relative to your age, sex, race, religion, ethnic origin, sexual preference or physical or mental handicap.

To be treated with friendliness, courtesy and respect by each and every individual representing our Pharmacy.

To be provided with adequate information from which you can give your informed consent for commencement of services, the continuation of services, the transfer of services to another pharmacy provider, or the termination of services.

To express concerns, complaints/grievances regarding treatment or care, lack of respect of person or property or recommend modifications to your Pharmacy services, without restraint, interference, coercion, discrimination or reprisal.

To request and receive complete and up-to-date information relative, to your medication or risks associated with medication.

To receive services promptly and professionally, while being fully informed as to our Pharmacy’s policies, procedures and charges.

To speak with a pharmacist upon request.

To request and receive data regarding treatment, services, or costs thereof, privately and with confidentially.

To be given information as it relates to the uses and disclosure of any information contained in your record that could be considered Protected Health Information.

To have your prescriptions and other information remain private and confidential, except as required and permitted by law.To decline participation, revoke consent, or disenroll in services at any point in time.

Patient Responsibilities

To provide accurate and complete information, including clinical and contact information required for processing of your prescription, and to notify the pharmacy of any changes to this information.

To accept responsibility for your actions, if refusing treatment or not complying with, the prescribed services.

To respect the rights of Pharmacy personnel.

To notify your Physician and the Pharmacy with any potential side effects and/or complications.

To submit any forms that are necessary to participate in Alto's services, to the extent required by law.To notify your treating provider of your participation in Alto's patient management program, if applicable.

Effective as of August 10, 2015