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NORTHERN BRACE NORTHERN PROSTHETICS
                                                   Northern Brace/Northern Prosthetics
                                                        Patient Rights 


You have the right to:

1.   Be treated with dignity, courtesy, and respect.
2.   Every patient can reasonably expect complete and current information concerning his/hers       diagnosis, treatment and prognosis in terms he/she can understand. When it is not  
      medically advisable to give the information to the patient, it may be made available to  
      the appropriate person on his/her behalf.         
3.   Every patient shall have the right to know by name and specialty, any staff and/or 
      the practitioner responsible for coordination of his/her care.
4.   Receive quality orthotic or prosthetic services and equipment services to meet or
      exceed professional and industry standards regardless of race, religion, political belief, sex
      social status, age or disability.
5.   Receive products and services from qualified personnel and receive instructions on self- 
      care, operation of products, and your responsibilities regarding orthotic and prosthetic
      services.
6.   Privacy and confidentiality regarding information and records about his/her care 
      and may approve or refuse to release information to any individual outside 
      Northern Brace/Northern Prosthetics, Inc. except as provided by law or a third 
      party payment contract and in accordance with HIPAA privacy standards.
7.   Participate in decision concerning the nature and purpose of any technical procedure 
      which will be performed and who will perform it, the possible alternatives and or risks
      involved.
8.   Be fully informed of Northern Brace/Northern Prosthetic’s policies, procedures, and 
      charges for services including criteria for third party reimbursement and receive an
      explanation of all forms that are requested to be signed.
9.   Know the cost of care and treatment and receive an explanation of his/her
      financial responsibility upon request.
10. Express dissatisfaction and to suggest changes in any service without 
      discrimination, reprisal or unreasonable interruption of service.